Emergent sclerotherapy of a newborn with expanding lymphatic malformation causing respiratory distress

Cameron C Sheehan; Winslo Idicula; Andrew Raabe; Kris Jatana; Tendy Chiang; Charles A Elmaraghy

doi:10.1016/j.radcr.2017.01.003

Emergent sclerotherapy of a newborn with expanding lymphatic malformation causing respiratory distress

Radiol Case Rep. 2017 Feb 15;12(2):409-412. doi: 10.1016/j.radcr.2017.01.003. eCollection 2017 Jun.

Authors

Cameron C Sheehan¹, Winslo Idicula², Andrew Raabe³, Kris Jatana⁴, Tendy Chiang⁴, Charles A Elmaraghy⁴

Affiliations

¹ The Ohio State University College of Medicine, Columbus, OH, USA.
² Department of Otolaryngology-Head and Neck Surgery, Wexner Medical Center at the Ohio State University, Columbus, OH, USA.
³ Department of Radiology, Nationwide Children's Hospital, Columbus, OH, USA.
⁴ Department of Pediatric Otolaryngology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, USA.

Abstract

The present report describes a case of acute airway obstruction in a newborn caused by an expanding hemorrhagic macrocystic lymphatic malformation (LM), which was successfully treated with emergent decompression and interventional radiology-guided sclerotherapy. The use of sclerotherapy for macrocystic LMs has been well described for various indications. The urgent interventional treatment obviated the need for a tracheostomy. This case describes the rapid diagnosis and use of sclerotherapy in a large expanding macrocystic LM.

Keywords: Lymphatic malformation; Respiratory distress; Sclerotherapy; Stridor.

Publication types

Case Reports