title: Emergency surgical treatment of cervico-mediastinal lymph-haemangioma in a 2-month-old infant, indicated by acute inner tumour haemorrhage.
abstract: Cervico-Mediastinal Lymphangiomas (CML) are caused by atresia of the efferent lymphatics or lack of communication between lymphatics and venous channels. Cervico-Mediastinal Lymphangiomas in certain cases require emergency surgery to secure decompression of the airways. The purpose of this study is to present a multidisciplinary surgical approach in the treatment of urgently complicated Cervico-Mediastinal Lymphangiomas, and to asses the surgical tactics and satisfactory outcome after a two-stage operation.
  
  
  METHODS
  The paper presents a case of a 48-day-old girl with acute haemorrhage of Cervico-Mediastinal Lymphangioma, resulting from an increased arterial blood pressure due to thrombosis of the internal jugular vein. This condition required the convening of an emergency multidisciplinary surgical team which resolved emergency decompression by removal of the cervical tumour component.
  
  
  CONCLUSIONS
  The authors discuss the reasons for the emergency indications for operation in this case, the dynamics in multi-stage treatment, the regression of the mediastinal component resulting from the developed inflammation, the intraoperative difficulties and functional complications resulting from the strife after radicalism.
  
  
  CONCLUSIONS
  The presented case shows indications for emergency surgical intervention in acute growing CML. It illustrates the need for a multidisciplinary surgical approach involving a team of experts in paediatric, vascular, cardiac and aesthetic surgery.
authors.affiliation: "N.I. Pirogov" Emergency Hospital, Sofia, Bulgaria.
authors.forename: R
authors.initials: R
authors.lastname: Drebov
authors.forename: R
authors.initials: R
authors.lastname: Stoichev
authors.forename: M
authors.initials: M
authors.lastname: Argirova
authors.forename: Pl
authors.initials: P
authors.lastname: Mitev
authors.forename: E
authors.initials: E
authors.lastname: Gagov
mesh_terms: D002584:Cervix Uteri / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007223:Infant; D008202:Lymphangioma / Q000473:pathology / Q000601:surgery*; D008479:Mediastinal Neoplasms / Q000473:pathology / Q000601:surgery*; D008482:Mediastinum / Q000473:pathology / Q000601:surgery*; D002583:Uterine Cervical Neoplasms / Q000473:pathology / Q000601:surgery*