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

Authors

Alexander Nissen, Uniformed Services University of the Health Sciences
A. Francois Trappey III, San Antonio Military Medical Center
Mary Edwards, San Antonio Military Medical Center

Date of this Version

2016

Citation

J Ped Surg Case Reports 5 (2016) 12e14

Comments

This is an open access article under the CC BY-NC-ND license

Abstract

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.