CASE REPORT
Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review
of the literature
1
The Student Scientific Society, Poznan University of Medical Sciences, Poland
2
Department of Paediatric Oncology, Haematology, and Transplantology, Institute of Paediatrics, Poznan University of Medical Sciences, Poland
3
Department of Paediatric Radiology, Institute of Paediatrics, Poznan University of Medical Sciences, Poland
4
Department of Pulmonology, Paediatric Allergy and Clinical Immunology, Institute of Paediatrics, Poznan University of Medical Sciences, Poland
5
Department of Paediatric Surgery, Traumatology, and Urology, Institute of Paediatrics, Poznan University of Medical Sciences, Poland
6
Department of Paediatric Bone Marrow Transplantation, Oncology, and Haematology, Medical University, Wroclaw, Poland
7
Department of Paediatrics and Nephrology, Regional Hospital, Miedzyrzecz, Poland
Submission date: 2025-04-07
Final revision date: 2025-06-16
Acceptance date: 2025-07-12
Publication date: 2025-09-24
Corresponding author
Olga Zając-Spychała
Olga Zając-Spychała, Department of Pediatric Oncology, Haematology, and Transplantology, Institute of Paediatrics, Poznań University of Medical Sciences, 27/33 Szpitalna St., 60-572 Poznan, Poland
Olga Zając-Spychała, Department of Pediatric Oncology, Haematology, and Transplantology, Institute of Paediatrics, Poznań University of Medical Sciences, 27/33 Szpitalna St., 60-572 Poznan, Poland
Pediatr Pol 2025;61(3):271-275
KEYWORDS
TOPICS
ABSTRACT
In the paediatric population, mediastinal tumours occur quite often. They include a variety of entities, with different aetiologies. The most common tumours localised in the anterior mediastinum include thymoma, lymphoma, and teratoma. Herein we present the case of an 8-month-old female infant diagnosed with a huge mediastinal solid-cystic tumour causing superior vena cava syndrome. Ultrasonography-guided needle aspiration was performed. The aspirated fluid contained no epithelial cells but many lymphocytes and neutrophils, based on a cytological analysis. The culture of the material revealed Staphylococcus aureus MRSA. In accordance with the antibiogram, the vancomycin therapy was continued. The antibiotic treatment was continued for 6 weeks achieving complete remission of the lymphangioma, which had lasted for one year.
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