Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review
of the literature

Agata Tomaszewska; Sandra Rutkowska; Katarzyna Jończyk-Potoczna; Irena Wojsyk-Banaszak; Przemysław Mańkowski; Tomasz Jarmoliński; Jacek Wachowiak; Katarzyna Derwich; Olga Zając-Spychała

doi:10.5114/polp.2025.154707

eISSN: 2300-8660
ISSN: 0031-3939

Pediatria Polska - Polish Journal of Paediatrics

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abstract:

Case report

Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review of the literature

Agata Tomaszewska

¹

,

Sandra Rutkowska

²

,

Katarzyna Jończyk-Potoczna

³

,

Irena Wojsyk-Banaszak

⁴

,

Przemysław Mańkowski

⁵

,

Tomasz Jarmoliński

^{6, 7}

,

Jacek Wachowiak

²

,

Katarzyna Derwich

²

,

Olga Zając-Spychała

²

The Student Scientific Society, Poznan University of Medical Sciences, Poland
Department of Paediatric Oncology, Haematology, and Transplantology, Institute of Paediatrics, Poznan University of Medical Sciences, Poland
Department of Paediatric Radiology, Institute of Paediatrics, Poznan University of Medical Sciences, Poland
Department of Pulmonology, Paediatric Allergy and Clinical Immunology, Institute of Paediatrics, Poznan University of Medical Sciences, Poland
Department of Paediatric Surgery, Traumatology, and Urology, Institute of Paediatrics, Poznan University of Medical Sciences, Poland
Department of Paediatric Bone Marrow Transplantation, Oncology, and Haematology, Medical University, Wroclaw, Poland
Department of Paediatrics and Nephrology, Regional Hospital, Miedzyrzecz, Poland

Pediatr Pol 2025; 100 (3): 271-275

DOI: https://doi.org/10.5114/polp.2025.154707

Online publish date: 2025/09/24

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AMA

Tomaszewska A, Rutkowska S, Jończyk-Potoczna K, et al. Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review
of the literature. Pediatria Polska - Polish Journal of Paediatrics. 2025;100(3):271-275. doi:10.5114/polp.2025.154707.

APA

Tomaszewska, A., Rutkowska, S., Jończyk-Potoczna, K., Wojsyk-Banaszak, I., Mańkowski, P.,  & Jarmoliński, T. et al. (2025). Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review
of the literature. Pediatria Polska - Polish Journal of Paediatrics, 100(3), 271-275. https://doi.org/10.5114/polp.2025.154707

Chicago

Tomaszewska, Agata, Sandra Rutkowska, Katarzyna Jończyk-Potoczna, Irena Wojsyk-Banaszak, Przemysław Mańkowski, Tomasz Jarmoliński,  and Jacek Wachowiak et al. 2025. "Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review
of the literature". Pediatria Polska - Polish Journal of Paediatrics 100 (3): 271-275. doi:10.5114/polp.2025.154707.

Harvard

Tomaszewska, A., Rutkowska, S., Jończyk-Potoczna, K., Wojsyk-Banaszak, I., Mańkowski, P., Jarmoliński, T., Wachowiak, J., Derwich, K.,  and Zając-Spychała, O. (2025). Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review
of the literature. Pediatria Polska - Polish Journal of Paediatrics, 100(3), pp.271-275. https://doi.org/10.5114/polp.2025.154707

MLA

Tomaszewska, Agata et al. "Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review
of the literature." Pediatria Polska - Polish Journal of Paediatrics, vol. 100, no. 3, 2025, pp. 271-275. doi:10.5114/polp.2025.154707.

Vancouver

Tomaszewska A, Rutkowska S, Jończyk-Potoczna K, Wojsyk-Banaszak I, Mańkowski P, Jarmoliński T et al. Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review
of the literature. Pediatria Polska - Polish Journal of Paediatrics. 2025;100(3):271-275. doi:10.5114/polp.2025.154707.

PlumX metrics:

In the paediatric population, mediastinal tumours occur quite often. They include a variety of entities, with different aetiologies. The most common tumours localised in the anterior mediastinum include thymoma, lymphoma, and teratoma. Herein we present the case of an 8-month-old female infant diagnosed with a huge mediastinal solid-cystic tumour causing superior vena cava syndrome. Ultrasonography-guided needle aspiration was performed. The aspirated fluid contained no epithelial cells but many lymphocytes and neutrophils, based on a cytological analysis. The culture of the material revealed Staphylococcus aureus MRSA. In accordance with the antibiogram, the vancomycin therapy was continued. The antibiotic treatment was continued for 6 weeks achieving complete remission of the lymphangioma, which had lasted for one year.

keywords:

Always expect the unexpected: cystic mediastinal lymphangioma in infants – case report and review of the literature

Agata Tomaszewska 1 , Sandra Rutkowska 2 , Katarzyna Jończyk-Potoczna 3 , Irena Wojsyk-Banaszak 4 , Przemysław Mańkowski 5 , Tomasz Jarmoliński 6, 7 , Jacek Wachowiak 2 , Katarzyna Derwich 2 , Olga Zając-Spychała 2

mediastinal tumour, lymphangioma, infant, treatment

Agata Tomaszewska

¹

,

Sandra Rutkowska

²

,

Katarzyna Jończyk-Potoczna

³

,

Irena Wojsyk-Banaszak

⁴

,

Przemysław Mańkowski

⁵

,

Tomasz Jarmoliński

^{6, 7}

,

Jacek Wachowiak

²

,

Katarzyna Derwich

²

,

Olga Zając-Spychała

²