Exploring Complexity: A Case Report of a Cystic Hygroma With Complex Congenital Heart Defects and Annular Pancreas in a One-Year-Old Child

Lymphatic malformations frequently present as benign masses in the neck and clavicle region among infants and young children. Cystic hygroma represents an often-encountered form of lymphatic malformation. This case report details the medical history of a one-year-old girl characterized by a multifac...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e56852
Main Authors: Javvaji, Chaitanya Kumar, Vagha, Keta, Manchineni, Sai Bhavani, Taksande, Amar, Varma, Ashish, Uke, Punam
Format: Article
Language:English
Subjects:
Abdomen
Cardiology
Cardiovascular disease
Case reports
Children & youth
Congenital diseases
Coronary vessels
Defects
Genetic disorders
Hemoglobin
Lymphatic system
Magnetic resonance imaging
Neck
Ostomy
Pancreas
Pediatrics
Pulmonary arteries
Radiology
Sclerotherapy
Surgery
Tomography
Ultrasonic imaging
Veins & arteries
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Summary:Lymphatic malformations frequently present as benign masses in the neck and clavicle region among infants and young children. Cystic hygroma represents an often-encountered form of lymphatic malformation. This case report details the medical history of a one-year-old girl characterized by a multifaceted medical background, initially exhibiting symptoms of persistent cough, cold, and neck swelling. Further investigations revealed more severe conditions: complex congenital heart defects, including large atrial septal defect (ASD), large ventricular septal defect (VSD), and aorta arising from the right ventricle with cystic hygroma and annular pancreas. The patient underwent various diagnostic tests, including chest X-rays, ultrasound, magnetic resonance imaging (MRI), and computed tomography pulmonary angiogram (CTPA), leading to multidisciplinary treatment involving sclerotherapy for cystic hygroma and supportive therapies. The case underscores the challenges in diagnosing and managing pediatric patients with overlapping conditions and the critical need for continuous follow-up.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.56852