Thoracoscopically-assisted doxycycline sclerotherapy for a microcystic thoracoabdominal lymphatic malformation in a 3-month-old patient

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• 作者：Alexander Nissen^a ; A. Francois Trappey III^b ; Mary Edwards^b ; ^{mary.j.edwards.mil@mail.mil" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Lymphatic malformation ; Sclerotherapy ; Thoracoscopy
• 刊名：Journal of Pediatric Surgery Case Reports
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：5
• 期：Complete
• 页码：12-14
• 全文大小：568 K

文摘

Here we report successful thoracoscopic-assisted sclerotherapy of a large, prenatally diagnosed microcystic thoracoabdominal lymphatic malformation in a 3-month-old infant born at 38 weeks gestational age. Compression of the inferior vena cava and aortic displacement was demonstrated on imaging. Treatment options include medical management, percutaneous sclerotherapy, or surgical resection. The latter options were complicated by the location of this lesion. Therefore, sclerotherapy under direct visualization via thoracoscopy was performed with near resolution of the lesion after one treatment. This is the first description of treatment of a lymphatic malformation via this approach reported in the literature.