PRENATAL ULTRASOUND DIAGNOSIS AND FOLLOW UP OF A RARE CASE OF A LYMPHANGIOMA LOCATED IN THE FETAL THORAX AND NECK WITH PROGRESSIVE ENLARGEMENT
Journal Title: INTERNATIONAL JOURNAL OF PURE MEDICAL RESEARCH - Year 2019, Vol 4, Issue 2
Abstract
Fetal lymphangiomas or cystic hygromas are uncommon congenital malformations of the lymphatic system. Prenatal diagnosis of lymphangiomas allows appropriate management planning, regarding pregnancy, delivery and treatment. We present a rare case of extended fetal lymphangioma, diagnosed on routine second trimester anomaly scan, initially located in the right mediastinum, with extension to the right lateral part of the neck. Molecular analysis using aCGH after amniocentesis showed a normal female karyotype 46,XX. The lymphangioma gradually enlarged and by the end of the third trimester it extended to the anterior and posterior part of the neck, left mediastinum, pericardium and right axilla. Elective cesarean section in a tertiary center allowed immediate evaluation by a specialized team of pediatric surgeons. Subsequent fetal MRI conrmed prenatal ultrasound ndings. Thus far, based on the location and size of the lesion and the lack of pressure effects on the heart and the vital anatomical structures of the mediastinum, the lymphangioma has been treated with repeated courses of sclerotherapy only, which led to partial regression. Today, the child is a thriving 4.5 year old girl with normal physical and mental development.
Authors and Affiliations
Panayiota Papasozomenou, Apostolos Athanasiades, Panayiotis Eskitzis, Menelaos Zafrakas
Keywords
Related Articles
- EP ID EP598824
- DOI -
- Views 43
- Downloads 0
TRENDS OF LEPROSY IN A TERTIARY CARE CENTRE IN JHARKHAND
OBJECTIVE: Leprosy is caused by Mycobacterium leprae and has been known since biblical times. It is still endemic in many regions of the world and a public health problem in India. Early case detection and prompt treatme...
STUDY OF SOME BIOCHEMICAL VARIABLES OF CARDIOVASCULAR PATIENTS AND EFFECT OF SOME PRODRUGS ON THE ACTIVITY OF SOME ENZYMES IN VIVO AND IN VITRO
Several studies have shown the risk factors associated cardiovascular disease (CVD). This research studies some biochemical variables of Cardiovascular patients and effect of some prodrugs on the activity of some enzymes...
MULTIPLE ENDOCRINOPATHIES IN A YOUNG FEMALE – A CASE REPORT
Autoimmune polyendocrine/ polyglandular (APS) syndromes are constellations of multiple endocrine gland insufficiencies, of whom there are 3 types, and amongst which APS type II is the most common. APS type III is dened...
THE EFFECT OF OBESITY ON CARDIAC REHABILITATION IN PATIENTS WHO HAVE UNDERGONE CORONARY ARTERY BYPASS GRAFT SURGERY (CABG) AT NATIONAL HOSPITAL OF SRI LANKA (NHSL)
Coronary artery disease (CAD) is a most prevalent noncommunicable disease in Sri Lank. Coronary Artery Bypass Graft Surgery (CABG) is a main revascularization procedure in CAD. Cardiac rehabilitation is a signicant comp...
A PROSPECTIVE RCT COMPARING THE OUTCOME OF ABOVE-KNEE AND BELOWKNEE POP CAST APPLICATION FOR ISOLATED TIBIAL SHAFT FRACTURES IN CHILDREN
Purpose: Above-Knee Cast has been standard treatment for treating tibial fractures in children. We conducted this study to evaluate the time of union, complication and cost of treatment between Above- Knee and Below-Knee...