Sarita K C, Mahaseth Rajeev Kumar, Raut Manita, Yadav Stuti, Yadav Digraj, Ghimire Pooja
Shree Birendra Hospital, Chaunni, Kathmandu, Nepal.
Nepalese Army Institute of Health Sciences, Kathmandu, Nepal.
Ann Med Surg (Lond). 2022 Jul 14;80:104200. doi: 10.1016/j.amsu.2022.104200. eCollection 2022 Aug.
Lymphangioma is a malformation of the lymphatic system. It is a rare occurrence in adults. The exact etiology of the disease is unclear but it is expected to be either congenital or due to obstruction and retention of lymph in developing lymphatic vessels.
We report a case of Parotid Lymphangioma in a 35-year-old male who presented to ENT OPD with painless right infraauricular swelling for 1 year which was insidious in onset and progressive in nature.
FNAC of the right parotid lump, USG of the parotid and neck, CT scan, and MRI of the neck were done which demonstrated the lesion and helped in the diagnosis.
The lesion was surgically excised under general anesthesia.
After the surgery, the patient was given IV antibiotics for 7 days and then discharged by prescribing Cefixime, Mupirocin, Pantop, Flexon, and eye drops. There was mouth deviation to the left side and incomplete closure of the right eye. However, the follow-up was uneventful with normal mouth and eye closure.
Parotid Lymphangioma must be diagnosed and treated as early as possible as it may cause complications. Regular follow-up even after the treatment is recommended.
淋巴管瘤是淋巴系统的一种畸形。在成年人中较为罕见。该病的确切病因尚不清楚，但推测可能是先天性的，或者是由于发育中的淋巴管阻塞和淋巴潴留所致。
我们报告一例35岁男性腮腺淋巴管瘤病例，该患者因右耳下无痛性肿胀1年就诊于耳鼻喉科门诊，起病隐匿，呈进行性发展。
对右侧腮腺肿块进行了细针穿刺抽吸活检（FNAC），并对腮腺和颈部进行了超声检查（USG）、CT扫描及颈部MRI检查，这些检查显示了病变并有助于诊断。
在全身麻醉下对病变进行了手术切除。
术后，患者接受了7天的静脉抗生素治疗，然后出院，并开具了头孢克肟、莫匹罗星、泮托拉唑、氟比洛芬酯和眼药水。患者出现左侧口角歪斜和右眼闭合不全。然而，随访情况良好，口角和眼睛闭合正常。
腮腺淋巴管瘤可能会引起并发症，必须尽早诊断和治疗。建议即使在治疗后也要定期随访。
