Born With a Severely Enlarged Hand, This Little Girl’s Parents Faced a Heartbreaking Surgical Decision

Born With a Severely Enlarged Hand, This Little Girl’s Parents Faced a Heartbreaking Surgical Decision
Before London was even born, an ultrasound revealed that something was different about her left hand.
When she arrived, doctors confirmed that she had a lymphatic malformation, a condition involving abnormal development of the lymphatic vessels.
Her affected hand was significantly enlarged, creating a visible difference that would eventually lead her parents, Kerry and Stephen, to one of the most difficult decisions of their lives.
A Condition Discovered Before Birth
London’s enlarged left hand had already been identified during her mother’s pregnancy.
After she was born, the diagnosis was confirmed, and her parents began searching for treatment options.
Her condition also attracted unwanted attention from others, adding another challenge for the family.
When London was just one month old, Kerry contacted Shriners Children’s Philadelphia after receiving a recommendation from someone connected to her parents’ church.
Searching for a Way to Save Her Hand
At Shriners Children’s, the family met orthopedic hand surgeon Dr. Scott Kozin.
He carefully examined London’s condition and discussed the available treatment options with her parents.
Unfortunately, the malformation could not be adequately managed through repeated drainage. Removing the accumulated fluid would offer only temporary relief.
After evaluating the situation, Dr. Kozin recommended amputation of the affected hand as the most appropriate treatment option.
For Kerry and Stephen, the recommendation was devastating, but they wanted to make a decision that would best support their daughter’s long-term health.
A Heartbreaking Decision
London eventually underwent surgery to remove her affected hand.
Her parents continued working closely with Dr. Kozin, developing a strong relationship with the specialist who had guided them through the difficult process.
As London grew older, she even developed an affectionate nickname for him, calling him her “nub doctor.”
Despite everything the family had experienced, their hospital visits gradually became opportunities to reconnect with people who understood London’s journey.

Encouraging News During Follow-Up Care
During a subsequent appointment, Dr. Kozin examined London’s arm to check for signs that the malformation might be enlarging again.
According to the hospital’s February 2023 report, there was no evidence of further enlargement or recurrence at that examination.
The team planned to continue monitoring her growth and consider prosthetic options when she became older.
Her family also received transportation assistance from members of the Omar Shriners, helping them continue attending medical appointments.
A Happy Four-Year-Old With a Bright Personality
By the time her story was published, London was four years old.
She enjoyed visiting indoor play areas, spending time at the park and playing with her older sister.
She had also become a Shriners ambassador, representing the hospital community in 2021 and 2023.
Her parents remained grateful for the medical care and support they had received throughout her childhood.
Although London’s early life involved a major operation, her family wanted others to see her as a happy, active child whose identity extended far beyond her limb difference.
Source: Shriners Children’s Philadelphia, February 8, 2023 — Hand Difference Does Not Define London.