Hygroma colli

Classification according to ICD-10
D18.1	Lymphangioma, any location
O35.8	Care for the mother in the event of (suspected) other abnormalities or damage to the fetus
ICD-10 online (WHO version 2019)

As hygroma colli ( synonyms : hygroma colli cystic , cervical hygroma , jugular lymphatic obstructive sequence ) a very distinct liquid is lump or a fluid-filled cyst in the most lateral area of the neck (lat .: collis ) denotes a child.

In terms of structure, it is a soft elastic growth of lymph vessels , a so-called lymphangioma . The size is individually different.

frequency

The incidence is 1 in 12,000 births. Boys and girls are equally affected. About 50–65% are present at birth.

Diagnosis

If the hygroma colli is already present prenatally , it can be detected using ultrasound . It is then considered a sonographic soft marker that indicates a chromosome peculiarity and / or an organic malformation in the child. Depending on its size, a hygroma colli can be an obstacle to childbirth .

Otherwise, the cervical lymphangioma becomes visible after birth as a swelling in the neck. An ultrasound examination then shows the fluid-filled cavities.

By means of magnetic resonance imaging the full extent and the positional relationship is represented to the neck organs for treatment planning.

Comorbidities

While 25 out of 100 children with a hygroma colli have an unremarkable karyotype , it occurs more than average in children with:

• general diseases or malformations in the area of ​​the cardiovascular or lymphovascular system (e.g. heart defects )
• Inborn cystic hygroma syndrome
• Turner syndrome (monosomy X / here often a particularly large expression / Hc detectable in approx. 50% of cases)
• Pätau syndrome (trisomy 13 / Hc detectable in approx. 3% of the cases)
• Edwards syndrome (trisomy 18 / Hc detectable in approx. 15% of cases)
• Down syndrome (trisomy 21 / Hc detectable in approx. 7% of the cases)

complication

The most dangerous complication is airway obstruction . This can also happen through bleeding during a spontaneous delivery.

therapy

Depending on the situation, the therapy is carried out surgically, with a laser or by instillation of a substance ( OK-432 or bleomycin ). Surgical therapy may be incomplete due to the proximity to vital organs. Complications such as recurrence, infections, bleeding, injuries to blood vessels or nerves are not uncommon.

See also

Neck transparency - Dorsonuchal edema - Hydrops fetalis - Hygroma durae matris - Morbus haemolyticus neonatorum - Hygroma prepatellare - Hygromatosis

literature

• HA Tanriverdi, Hans-Joachim Hendrik, Kubilay Ertan, Roland Axt, Werner Schmidt: Hygroma colli cysticum: Prenatal diagnosis and prognosis. In: Am J Perinatol. 18 (2001), 8, pp. 415-420.
• Guidelines for lymphangioma of the German Society for Pediatric Surgery
• KW Ashcraft, TM Holder: Pediatric Surgery. 2nd Edition. Saunders Company, 1993, ISBN 0-7216-3737-X , p. 814.
• Pediatric surgery online, cystic hygroma

Web links

• Diagnosis, differential diagnosis and therapeutic consequences of hygroma colli
• Lymphangiom.de

Individual evidence

1. ↑ Alphabetical directory for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 384
2. ↑ Alphabetical index for the ICD-10-WHO version 2019, volume 3. German Institute for Medical Documentation and Information (DIMDI), Cologne, 2019, p. 118

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !