A 2 months young child with wrist swelling (mass ) on ventral aspect . Swelling being soft & trans illuminent.
Fig 2- HRSG with color doppler scan of the lesion shows a well defined thin septated multiloculated mass with no internal vascularity except both radial & ulnar arteries visualised with color flow signals . Most of the loculas were echolucent & small in size . No significant solid component was seen . On the basis of USG findings a possible diagnosis of lymphangioma was made .
Fig 3- Color doppler US scan of wrist shows both radial & ulnar arteries seen deep & separate from the mass . The flexor tendons were also seen separate.
Fig 1- clinical Photograh showing swelling wrist on ventral aspect.
No bony or joint pathology was seen . The lesion was involving superficial fascial fat plane .
PS - per operatively the mass was found to be lymphangioma & Histopathology confirmed it .
As per literature it is one of the rare site for lymphangioma.
My special thanks to Dr Gaurav Bahety ( M. Ch. - pediatric surgery) , Bhilwara for feedback.
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