Elmarghani Mohamed, Cooper Fergus, Mohangee Irfaan, Sardar Mecaelan, Cassimjee Zaahir
Otolaryngology, Aberdeen Royal Infirmary, Aberdeen, GBR.
Oncology, Palliative Care, Western General Hospital, Edinburgh, GBR.
Cureus. 2025 Apr 14;17(4):e82276. doi: 10.7759/cureus.82276. eCollection 2025 Apr.
The authors present a compelling case of a man in his 50s whose long-standing congenital cervical haemangioma became symptomatic after adopting a more physically active lifestyle. Imaging revealed notable findings, with ENT assessment uncovering deep airway extension of the hemangioma, triggering neck discomfort after strenuous activity. The patient had previously been advised to avoid general anaesthesia due to anticipated difficulties with intubation. Subsequent flexible laryngoscopy and CT imaging revealed a greater degree of airway involvement than initially suspected. The article explores the range of management options available for this condition. Remarkably, despite the potential complications, the patient continues to enjoy a good quality of life without requiring medical or surgical intervention.
作者介绍了一个引人关注的病例，一名50多岁的男子，其长期存在的先天性颈部血管瘤在采取更积极的生活方式后出现了症状。影像学检查发现了显著的结果，耳鼻喉科评估发现血管瘤向深部气道延伸，剧烈活动后引发颈部不适。由于预计插管会有困难，该患者此前被建议避免全身麻醉。随后的纤维喉镜检查和CT成像显示气道受累程度比最初怀疑的要大。本文探讨了针对这种情况的一系列治疗选择。值得注意的是，尽管存在潜在并发症，但该患者无需医疗或手术干预，仍继续享有良好的生活质量。
