Neonatal neck mass in identical twins: an unusual presentation.
Identical twins were noted to have a soft asymptomatic neck mass, each on the opposite side, at 1 week of age. The mass took a dramatic course 1 week later to present as a neck abscess, yet without systemic symptoms. Ultrasonography was highly suggestive of an infected lymphatic malformation (cystic hygroma). Intravenous antibiotics and drainage (aspiration/incision and drainage) resulted in resolution of the mass and no recurrence at 18 months follow-up. The concept of spontaneous involution of lymphatic malformation (cystic hygroma) is discussed as well as the management of neck abscesses in infancy.
Bitar
Mohamed A
MA
Assistant Professor of Pediatric Otolaryngology, Department of Otolaryngology Head and Neck Surgery, American University of Beirut, School of Medicine, American University of Beirut, Medical Center, Beirut, Lebanon.
Dbaibo
Ghassan S
GS
D000038:Abscess / Q000209:etiology / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001707:Biopsy, Needle; D004200:Diseases in Twins / Q000175:diagnosis* / Q000628:therapy; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007231:Infant, Newborn; D018191:Lymphangioma, Cystic / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D008297:Male; D009333:Neck / Q000000981:diagnostic imaging; D016896:Treatment Outcome; D014430:Twins, Monozygotic; D014463:Ultrasonography
D000900:Anti-Bacterial Agents