S. Ayadi, Y. Hbaib, Y. Sghaier, M. Sallemi , M. Mnejja , I. Charfeddine
Otolaryngology- Head and Neck Surgery department, Habib Bourguiba Hospital,
Sfax, Tunisia

Abstract

Introduction: Bannayan-Zonana syndrome (BZS) is a rare polymalformative condition characterized by macrocephaly, multiple lipomas, intestinal polyps, and vascular hamartomas. Cervical symptoms are extremely rare.

Observation: We report a case of a 25-year-old woman referred for compressive cervical swelling and inspiratory dyspnea. Previously diagnosed with BZS due to macrocephaly, diffuse lipomas, and intestinal polyps, her cervical MRI showed two large masses. Surgical excision of these lipomas resulted in a successful outcome with no recurrence after one year.

Conclusion: This case emphasizes the importance of recognizing BZS with compressive cervical lipomas, an atypical but critical manifestation, to prevent severe complications such as airway obstruction.

Key words: Bannayan-Zonana, Syndrome, Lipoma, Imaging

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