Managing Recurrent Orbital Lymphangioma in a Pubertal Female with Negative Pressure Aspiration and Intralesional Bleomycin Injection: A Case Report

Autor:	Badri Prasad Badhu, Aashish Raj Pant, Santosh Chaudhary
Rok vydání:	2021
Předmět:	medicine.medical_specialty business.industry General Medicine Bleomycin Injection medicine.disease Bleomycin Cannula Surgery body regions chemistry.chemical_compound chemistry Lymphangioma medicine Cyst Surgical excision business SCLEROSING AGENTS
Zdroj:	Nepalese Journal of Ophthalmology. 13:157-161
ISSN:	2091-0320 2072-6805
DOI:	10.3126/nepjoph.v13i1.30723
Popis:	Introduction: Management of orbital lymphangioma is challenging. Complete surgical excision is often impossible due to its infiltrative nature. Sclerosing agents have been used in its management with variable outcomes. We report a case of recurrent orbital lymphangioma managed with intralesional bleomycin. Case: A 14-year-old female presented with proptosis of the right eye for two weeks. She had a similar history at five years of age for which she underwent surgical excision. We performed negative pressure aspiration using a 20-gauge angiocatheter, injected bleomycin, and left the cannula in situ for repeat aspiration to maintain cyst collapse. Observation: The lymphangioma regressed, and there was no recurrence at six months of follow-up. Conclusion: This report highlights the use of negative pressure aspiration and intralesional bleomycin injection by minimal intervention using angiocatheter in the successful management of orbital lymphangioma.
Databáze:	OpenAIRE
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