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Spartan Med Res J
Spartan Med Res J
1364
Spartan Medical Research Journal
2474-7629
MSU College of Osteopathic Medicine Statewide Campus System Website: Spartan Medical Research Journal

122824
10.51894/001c.122824
Research Symposium
MANAGEMENT OF A PEDIATRIC LYMPHANGIOMA ON THE BUTTOCKS
Qian Victoria BSc 1
1 School of Medicine Wayne State University https://ror.org/01070mq45
30 8 2024
2024
9 2 ABSTRACTS FROM THE SECOND ANNUAL RESEARCH DAY HOSTED BY THE MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE, NOVI, MICHIGAN, APRIL 11, 2024. 12282415 7 2024
31 7 2024
https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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pmc13

BACKGROUND

Lymphatic malformations are congenital non-malignant abnormalities that arise during lymphatic vessel development. They typically present before 2 years of age and are most commonly found in the neck and axillae.

CASE DESCRIPTION

We report the case of a 14-year-old male who has a 7-year history of a progressively enlarging lymphangioma over his right buttock. The diagnosis was confirmed by initial history and imaging. His presentation is unique in that it did not manifest until he was 7 years old and has since grown to a diameter of 15 cm, covering almost the entirety of his right buttock. This patient was frequently admitted from the emergency department for lengthy hospitalizations due to pain and bacterial infections of the lesion which interfered with educational and personal milestones. Furthermore, the patient expressed that the sensitive position of the lesion negatively impacted his self-esteem and presented a barrier to building intimate relationships. Since presentation, the patient has struggled with adequate pain relief through medical management and sought additional treatment with sclerotherapy, pulsed dye laser therapy, CO2 laser therapy, and shave excisions. He continues to seek optimal management for his condition and is now considering more aggressive options such as surgical and vascular interventions as conservative therapies were unsuccessful.

DISCUSSION

Although lymphangiomas typically present in the neck and axillae, they can present in other areas of the body, such as the buttock, leading to significant discomfort and decreased quality of life. While many lymphatic malformations remain asymptomatic and only require conservative treatment to resolve cosmetic concerns, caring for patients with symptomatic, complex lymphatic malformations requires a thorough plan involving medical, interventional, and surgical specialist.
