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Miguel Alberto Rodríguez Pérez,* JR Benito Navarro*
Resumen
El higroma quístico es una malformación del sistema linfático periférico que provoca falta de drenaje al sistema venoso. El tratamiento de elección consiste en extirpación quirúrgica; pero se ha establecido la prescripción de esclerosantes. Se comunica el caso de una mujer de 15 años de edad con tumoración laterocervical derecha de un mes de evolución, sin datos clínicos de dolor ni signos infecciosos. Entre sus antecedentes personales destacan: intervención quirúrgica a los cinco años de edad, que refirió como “quiste en el cuello” (sin informe clínico del mismo). La traslucencia nucal y resonancia magnética reportaron un quiste branquial. Se programó para intervención quirúrgica, pero se interrumpió por apreciarse una lesión de naturaleza vascular. Enconjunto con el servicio de cirugía vascular se efectuó la exéresis de la neoformación, con evolución satisfactoria.
Abstract
Cystic hygroma is an abnormality of the peripheral lymphatic system that results in a failure of the drainage to flow into the venous one. Surgery is the most usual therapy, although plain observation or sclerosing agents may also be considered. This paper report the case of a 15-year-old girl who was referred to our ENT department for the evaluation of a cervical swelling on her right neck side, showed up 1 month ago. Fluctuant, soft, compressible. Neither infection symptoms nor pain were mentioned. Her family reports she underwent surgery when she was 5-year-old for a mass in her neck, but did not bring any paper. Aspiration of the mass was done, and bloody fluid was showed. It got refilled after 10-15 days. CT and IRM images: diagnosis of branchial cleft cyst was done. We decided surgical management, but it has to be interrupted because vascular nature of the mass is noticed in the operating room. Afterwards, with vascular surgery department, the mass was dissected.
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