Challenging differential diagnosis, Diagnostic / therapeutic accidents, Congenital defects / diseases
Yehuda Galili, Meghan Lytle, Kataria Amandeep, Jonathan Bartolomei, Li Ge, Steve J. Carlan, Mario Madruga
(Department of Internal Medicine, Orlando Regional Healthcare, Orlando, FL, USA)
Am J Case Rep 2019; 20:868-871
Lymphangiomas represent the focal proliferation of benign, well-differentiated lymphatic tissue. They are most likely congenital, thus more commonly diagnosed at birth and before the age of 2 years. When they are found in adults, they favor the head, neck and axillary region. Rarely do they involve the nasopharynx region or occur in a pregnant patient.
CASE REPORT: A 21-year-old primagravida in the third trimester of pregnancy developed difficulty swallowing that progressed into difficulty breathing over a 1-month period. Imaging and examination suggested a benign mass in the nasopharynx and the patient underwent surgical removal of the stalk with bipolar cautery. The pathology report revealed a simple 4.5×1.5×0.8 cm lymphangioma. She had no fetal compromise during anesthesia.
CONCLUSIONS: Surgical removal of a nasopharyngeal lymphangioma during the third trimester of pregnancy is indicated if respiratory obstruction may be a complication.
Keywords: Lymphangioma, Cystic, Nasopharyngeal Diseases, Pregnancy Outcome, Pregnancy Trimester, Third