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J Thorac Cardiovasc Surg 2007;134:1596-1597
© 2007 The American Association for Thoracic Surgery
Brief Communication |
Department of Cardiothoracic Surgery, Christian Medical College & Hospital, Vellore, Tamil Nadu, India.
Received for publication July 23, 2007; accepted for publication August 15, 2007. * Address for reprints: Alpha Mathew Kavunkal, MCh, Lecturer, Department of Cardiothoracic Surgery Unit 1, Christian Medical College & Hospital, Vellore, 632 004, Tamil Nadu, India. (Email: alphakavi@hotmail.com).
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Cystic lymphangioma is a developmental malformation of the lymphatic system. As they develop in the body surface, 90% of all lymphangiomas are found by 2 years of age.1
However, those developing in the mediastinum, which account for less than 1%, are mostly asymptomatic and are usually found accidentally in adulthood.2
We report here a rare case of isolated mediastinal cystic lymphangioma in a 3-year-old child.
Clinical Summary
A 3-year-old girl had had intermittent low-grade fever for 2 weeks. A chest radiogram showed a large homogeneous opacity in the left lower lung field (Figure 1). A computed tomographic scan revealed a well-defined 10 x 5-cm cystic lesion in the left paracardiac region in close contact with the heart (Figure 2). Superiorly, it extended
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