Key result
High-frequency ultrasound accurately diagnosed a complicated pediatric neck lymphangioma with internal hemorrhage and infection, which was confirmed by histopathology despite contradictory MRI findings.
Case Report (n=1)
No
High frequency ultrasound with linear transducers is an excellent and accurate tool for diagnosing and evaluating pediatric lymphangiomas and their complications using pattern recognition.
May support high-frequency ultrasound for complex pediatric neck lesions when MRI conflicts; single case leaves open prospective validation.
Lymphangiomas are most common lesions seen in the pediatric age group.They are exclusively seen in the head neck and axillary region.Infact they are exclusively also picked as part of prenatal sonography (50 -65% detection rate) and followed up in post-natal for confirmation.(90% detection rate) High frequency ultrasound with linear transducers have revolutionized the imaging of these lesions.They can be diagnosed with great accuracy due to its specific appearance on ultrasound.Hypoechoic cystic lesion with classic thin walled septations within them and avascular on colour Doppler studies seen in a pediatric age group is signature finding to diagnose lymphangioma on ultrasound and best modality to evaluate pediatric patients in day-to-day clinical practice.
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Kamble et al. (2023) conducted a case report in Pediatric Lymphangioma of Neck (n=1). High frequency ultrasound vs. MRI was evaluated on Diagnostic accuracy for complicated lymphangioma. High-frequency ultrasound accurately diagnosed a complicated pediatric neck lymphangioma with internal hemorrhage and infection, which was confirmed by histopathology despite contradictory MRI findings.
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