[Cystic intrathoracic hemolymphangioma: a rare differential diagnosis of acute bronchiolitis in an infant].
Hemolymphangioma is a benign malformation of the lymphatic vessels. Cervical localisation is the most frequent. Mediastinal localisation is rare, but may be life-threatening because of airway compression. We report on a four-month-old boy who presented, in a context of epidemics, with clinical signs of acute bronchiolitis requiring mechanical ventilation for several days. Chest X-rays showed an important mediastinal mass with airways compression. Diagnosis was evoked on CT-scan aspects and confirmed by histology. Surgery allowed complete resolution, but dysphonia and oropharyngeal disorders persisted for several months. This rare congenital malformation is reviewed.
Bosdure
E
E
Unité de médecine infantile, CHU Timone-Enfants, 13385 Marseille cedex 05, France.
Mates
M
M
Mely
L
L
Guys
J M
JM
Devred
P
P
Dubus
J C
JC
D000208:Acute Disease; D001988:Bronchiolitis / Q000209:etiology*; D003937:Diagnosis, Differential; D006391:Hemangioma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007223:Infant; D018191:Lymphangioma, Cystic / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D008297:Male; D008479:Mediastinal Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery