Case Report

Isolated mediastinal lymphangioma in a child: A rare case report

Ankita Gupta, Maheswar Chaudhury, Manoranjan Khuntia, Peeta H. Prasad, Somadatta Das
South African Journal of Radiology | Vol 29, No 1 | a3274 | DOI: https://doi.org/10.4102/sajr.v29i1.3274 | © 2025 Ankita Gupta, Maheswar Chaudhury, Manoranjan Khuntia, Peeta H. Prasad, Somadatta Das | This work is licensed under CC Attribution 4.0
Submitted: 09 August 2025 | Published: 20 December 2025

About the author(s)

Ankita Gupta, Department of Radiodiagnosis, Institute of Medical Sciences and SUM Hospital, Siksha ‘O’ Anusandhan, Deemed to be University, Bhubaneswar, India
Maheswar Chaudhury, Department of Radiodiagnosis, Institute of Medical Sciences and SUM Hospital, Siksha ‘O’ Anusandhan, Deemed to be University, Bhubaneswar, India
Manoranjan Khuntia, Department of Radiodiagnosis, Institute of Medical Sciences and SUM Hospital, Siksha ‘O’ Anusandhan, Deemed to be University, Bhubaneswar, India
Peeta H. Prasad, Department of Radiodiagnosis, Institute of Medical Sciences and SUM Hospital, Siksha ‘O’ Anusandhan, Deemed to be University, Bhubaneswar, India
Somadatta Das, Department of Radiodiagnosis, Institute of Medical Sciences and SUM Hospital, Siksha ‘O’ Anusandhan, Deemed to be University, Bhubaneswar, India

Abstract

The mediastinum is an unusual location for cystic lymphangiomas. An 18-month-old male presented with acute fever, dry intermittent cough and respiratory distress. Chest radiography, ultrasonography, contrast-enhanced CT and MRI suggested a diagnosis of mediastinal cystic lymphangioma with internal haemorrhage. Surgical excision of the lesion and histopathological examination confirmed cystic lymphangioma.
Contribution: This case highlights the multimodal radiological features of isolated mediastinal cystic lymphangioma for accurate diagnosis and improved management, to avoid unnecessary interventions and complications.


Keywords

benign vascular tumour; mediastinal lymphangioma; cystic lymphangiomas; cystic lesion; recurrent pleural effusion

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