Emergent parotidectomy after parotid lymphatic malformation hematoma
Introduction: Lymphatic malformations (LM) are non-malignant, congenital masses that contain fluid-filled lymph channels. These lesions typically present in childhood, but they can rarely present as a new head and neck mass in adults, which may not be on the differential diagnoses of clinicians. We...
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doaj-cd84c01bf34d49099911833306ca64682020-11-24T22:26:43ZengElsevierOtolaryngology Case Reports2468-54882018-06-017C161810.1016/j.xocr.2018.03.001Emergent parotidectomy after parotid lymphatic malformation hematomaNeel K. Bhatt0Liang-I. Kang1Samir El-Mofty2Brian Nussenbaum3Patrik Pipkorn4Department of Otolaryngology – Head and Neck Surgery, Washington University in Saint Louis, Saint Louis, MO, USADepartment of Pathology and Immunology, Washington University in Saint Louis, Saint Louis, MO, USADepartment of Pathology and Immunology, Washington University in Saint Louis, Saint Louis, MO, USADepartment of Otolaryngology – Head and Neck Surgery, Washington University in Saint Louis, Saint Louis, MO, USADepartment of Otolaryngology – Head and Neck Surgery, Washington University in Saint Louis, Saint Louis, MO, USAIntroduction: Lymphatic malformations (LM) are non-malignant, congenital masses that contain fluid-filled lymph channels. These lesions typically present in childhood, but they can rarely present as a new head and neck mass in adults, which may not be on the differential diagnoses of clinicians. We present a case of an intraparotid mass that expanded rapidly secondary to hematoma after a diagnostic fine needle aspiration was performed. Case details: A 24 year-old male presented with a right parotid mass. CT imaging revealed a 3.2 × 1.8cm cystic lesion in the parotid gland. Ultrasound-guided fine needle aspiration was performed, resulting in a parotid hematoma and compression of the buccal branch of the right facial nerve. The patient was taken to the operating room urgently for evacuation of hematoma, and a superficial parotidectomy was performed. Pathology revealed an intraparotid lymphatic malformation with organized hematoma. Conclusions: We present a case of hematoma following fine needle aspiration of a lymphatic malformation. While these lesions typically present in the pediatric population, they may be first diagnosed in adulthood. Hematoma following FNA is exceedingly rare and may increase the clinical suspicion for LM.http://www.sciencedirect.com/science/article/pii/S2468548818300080 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Neel K. Bhatt Liang-I. Kang Samir El-Mofty Brian Nussenbaum Patrik Pipkorn |
spellingShingle |
Neel K. Bhatt Liang-I. Kang Samir El-Mofty Brian Nussenbaum Patrik Pipkorn Emergent parotidectomy after parotid lymphatic malformation hematoma Otolaryngology Case Reports |
author_facet |
Neel K. Bhatt Liang-I. Kang Samir El-Mofty Brian Nussenbaum Patrik Pipkorn |
author_sort |
Neel K. Bhatt |
title |
Emergent parotidectomy after parotid lymphatic malformation hematoma |
title_short |
Emergent parotidectomy after parotid lymphatic malformation hematoma |
title_full |
Emergent parotidectomy after parotid lymphatic malformation hematoma |
title_fullStr |
Emergent parotidectomy after parotid lymphatic malformation hematoma |
title_full_unstemmed |
Emergent parotidectomy after parotid lymphatic malformation hematoma |
title_sort |
emergent parotidectomy after parotid lymphatic malformation hematoma |
publisher |
Elsevier |
series |
Otolaryngology Case Reports |
issn |
2468-5488 |
publishDate |
2018-06-01 |
description |
Introduction: Lymphatic malformations (LM) are non-malignant, congenital masses that contain fluid-filled lymph channels. These lesions typically present in childhood, but they can rarely present as a new head and neck mass in adults, which may not be on the differential diagnoses of clinicians. We present a case of an intraparotid mass that expanded rapidly secondary to hematoma after a diagnostic fine needle aspiration was performed.
Case details: A 24 year-old male presented with a right parotid mass. CT imaging revealed a 3.2 × 1.8cm cystic lesion in the parotid gland. Ultrasound-guided fine needle aspiration was performed, resulting in a parotid hematoma and compression of the buccal branch of the right facial nerve. The patient was taken to the operating room urgently for evacuation of hematoma, and a superficial parotidectomy was performed. Pathology revealed an intraparotid lymphatic malformation with organized hematoma.
Conclusions: We present a case of hematoma following fine needle aspiration of a lymphatic malformation. While these lesions typically present in the pediatric population, they may be first diagnosed in adulthood. Hematoma following FNA is exceedingly rare and may increase the clinical suspicion for LM. |
url |
http://www.sciencedirect.com/science/article/pii/S2468548818300080 |
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