. The diseases of children : medical and surgical. obably congenital lymphatic varices of the limbs have been described byR. W. Parker ; he thinks they have a tendency to become locally inflamed.^We have recently met with a case of lymph ncevus of the conjunctiva andsupra-orbital region, causing an unsightly deformity ; the nsevus varied muchin size, and sometimes puffed up and became Large multilocular cystic swellings may be met with in the neck, re-sembling in external appearance the hygromata which are associated withlymphatic macroglossia, but differing from these lymphatic tumo
. The diseases of children : medical and surgical. obably congenital lymphatic varices of the limbs have been described byR. W. Parker ; he thinks they have a tendency to become locally inflamed.^We have recently met with a case of lymph ncevus of the conjunctiva andsupra-orbital region, causing an unsightly deformity ; the nsevus varied muchin size, and sometimes puffed up and became Large multilocular cystic swellings may be met with in the neck, re-sembling in external appearance the hygromata which are associated withlymphatic macroglossia, but differing from these lymphatic tumours in thatsome of the cysts are found filled with blood either coagulated or more orless altered, and become laky. In the same swelling cysts may containfluid, clear or only tinged with blood. It is difficult in such cases to be surewhether the growth is a blood naevus which has undergone cystic degenera-tion, or a lymph nsevus in which haemorrhages have taken place. Such acase which we saw with Dr. McNicoll, of Southport, occurred in a child of. Fig. -Gangrene of the leg secondary to embolism of femoral artery. Boy, aged 7 years,with mitral and aortic disease. seven weeks old ; and as it was growing and threatened to cause dyspnoea, itwas treated by laying open and partly removing the larger cysts. The opera-tion, though extensive and formidable for so young a child, had a satisfactoryresult. Excision of the greater part of the cyst wall with subsequent drainage is,we have found, the best treatment. If the drain is removed too soon andinsufficient irritation is set up, the lymph cavity is apt to refill. Aneurism in children is extremely rare ; only a few cases have beenrecorded, and these appear all to have been either traumatic or the result 1 Vide also chap, on Tumour Growths in Childhood. - The case, with a drawing, has been published by Dr. Mules in Trans. , Heidelberg, 1888. For an account of various rare abnormalities of the blood andlymph vascular systems
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