Abstract
Benign cystic lesions such as cystic hygroma commonly manifest as progressively increasing swelling in the neck with or without compression effects. Rarely, they present with sudden respiratory distress in instances such as infection or haematoma resulting in a sudden increase in the size of the tumour. We present a seven month old child with sudden onset respiratory distress without any obvious neck swelling. The chest X ray findings correlated with the history and were suggestive of right upper lobe pneumonia that leads to a wrong diagnosis of aspiration pneumonia. However, presence of a deviated trachea in the neck raised a suspicion of possible mass. Computed tomogram showed a large cystic mass in the right upper mediastinum with tracheal collapse. We caution intensivists and paediatricians that sudden respiratory distress in infants in the absence of obvious neck swelling does not rule out possibility of intrathoracic tumour.
| Original language | English |
|---|---|
| Pages (from-to) | 154-156 |
| Number of pages | 3 |
| Journal | Indian Journal of Critical Care Medicine |
| Volume | 16 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 01-07-2012 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Critical Care and Intensive Care Medicine
Cite this
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Intrathoracic cystic hygroma with sudden respiratory distress mimicking pneumonia. / Goneppanavar, Umesh; Prasad, K. N.; Rao, Shwethapriya; Chaudhury, Souvik.
In: Indian Journal of Critical Care Medicine, Vol. 16, No. 3, 01.07.2012, p. 154-156.Research output: Contribution to journal › Article
TY - JOUR
T1 - Intrathoracic cystic hygroma with sudden respiratory distress mimicking pneumonia
AU - Goneppanavar, Umesh
AU - Prasad, K. N.
AU - Rao, Shwethapriya
AU - Chaudhury, Souvik
PY - 2012/7/1
Y1 - 2012/7/1
N2 - Benign cystic lesions such as cystic hygroma commonly manifest as progressively increasing swelling in the neck with or without compression effects. Rarely, they present with sudden respiratory distress in instances such as infection or haematoma resulting in a sudden increase in the size of the tumour. We present a seven month old child with sudden onset respiratory distress without any obvious neck swelling. The chest X ray findings correlated with the history and were suggestive of right upper lobe pneumonia that leads to a wrong diagnosis of aspiration pneumonia. However, presence of a deviated trachea in the neck raised a suspicion of possible mass. Computed tomogram showed a large cystic mass in the right upper mediastinum with tracheal collapse. We caution intensivists and paediatricians that sudden respiratory distress in infants in the absence of obvious neck swelling does not rule out possibility of intrathoracic tumour.
AB - Benign cystic lesions such as cystic hygroma commonly manifest as progressively increasing swelling in the neck with or without compression effects. Rarely, they present with sudden respiratory distress in instances such as infection or haematoma resulting in a sudden increase in the size of the tumour. We present a seven month old child with sudden onset respiratory distress without any obvious neck swelling. The chest X ray findings correlated with the history and were suggestive of right upper lobe pneumonia that leads to a wrong diagnosis of aspiration pneumonia. However, presence of a deviated trachea in the neck raised a suspicion of possible mass. Computed tomogram showed a large cystic mass in the right upper mediastinum with tracheal collapse. We caution intensivists and paediatricians that sudden respiratory distress in infants in the absence of obvious neck swelling does not rule out possibility of intrathoracic tumour.
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UR - http://www.scopus.com/inward/citedby.url?scp=84870022974&partnerID=8YFLogxK
U2 - 10.4103/0972-5229.102088
DO - 10.4103/0972-5229.102088
M3 - Article
AN - SCOPUS:84870022974
VL - 16
SP - 154
EP - 156
JO - Indian Journal of Critical Care Medicine
JF - Indian Journal of Critical Care Medicine
SN - 0972-5229
IS - 3
ER -