Parotid Lymphangioma of adult: A case report

INTRODUCTION: Lymphangioma is a malformation of the lymphatic system. It is a rare occurrence in adults. The exact etiology of the disease is unclear but it is expected to be either congenital or due to obstruction and retention of lymph in developing lymphatic vessels. CASE DESCRIPTION: We report a case of Parotid Lymphangioma in a 35-year-old male who presented to ENT OPD with painless right infraauricular swelling for 1 year which was insidious in onset and progressive in nature. INVESTIGATION: FNAC of the right parotid lump, USG of the parotid and neck, CT scan, and MRI of the neck were done which demonstrated the lesion and helped in the diagnosis. TREATMENT: The lesion was surgically excised under general anesthesia. OUTCOME AND FOLLOW UP: After the surgery, the patient was given IV antibiotics for 7 days and then discharged by prescribing Cefixime, Mupirocin, Pantop, Flexon, and eye drops. There was mouth deviation to the left side and incomplete closure of the right eye. However, the follow-up was uneventful with normal mouth and eye closure. CONCLUSION: Parotid Lymphangioma must be diagnosed and treated as early as possible as it may cause complications. Regular follow-up even after the treatment is recommended.