Cystic hygroma with hydrops fetalis: a rare case report

Kamble, Vidya; Bhatia, Tulsi; Patil, Shaifali

doi:10.5455/2320-1770.ijrcog20140971

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…However, most of them affect the head and neck area (75%), with a left predilection. [1][2][3][4][5] Hygroma coli is a malformation of the lymphatic system in the form of a membrane cyst filled with fluid, limited by the epithelium that is located in the anterolateral or occipitocervical region. The hygroma can be small, simple and transient or large, perceptual and persistent.…”

Section: Introductionmentioning

confidence: 99%

Hygroma Colli

Basyir

Utama

2021

AOJ

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Background : Hygroma coli is a malformation of the lymphatic system in the form of a membrane cyst filled with fluid, limited by the epithelium that is located in the anterolateral or occipito-cervical region. The prenatal diagnosis of cystic hygroma coli by ultrasound is based on an apparently bilateral, mostly symmetrical, and sometimes unilateral cystic structure located in the occipitocervical region. Large hygroma coli can cause pressure on the respiratory tract and digestion, so it requires management as soon as possible.The main treatment modality is surgical excision to remove the cystic lesion. The prognosis of a hygroma coli cyst depends on its size and the action taken because it is rare for cases to experience spontaneous regression.Destination : Reported a case of hygroma colliMethods : Case ReportCase Report : Case 24 years old women with preterm G1P0A0L0 26-27 weeks + Hygroma colli + IUFD + Suspected COVID-19. On ultrasound examination, it was found that BPD =4,71; AC = 15,91; FL = 2,89; EFW = 330 gr; FHR = (-); Cyst = 5,06 x 3,26. The presence of head presentation, IUFD, hygroma colli was found. The patient was planned for labor induction and the progress of labor was followed. Patient provided inform consent that baby was death during pregnancy and need to be labored. The baby was born, weight 300 gr, body length 14 cm and A/S 0/0. Postmortem physical examination revealed findings of hygroma colli infants such membrane cyst filled with fluid that located in the occipito-cervical region. Conclusion: Hygroma colli is a malformation of the lymphatic system and the prognosis or complications depends on the size of cyst. Careful prenatal examination is required in diagnosis and termination of pregnancyKeywords: Hygroma Colli, prenatal diagnosis

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Section: Introductionmentioning

confidence: 99%

Hygroma Colli

Basyir

Utama

2021

AOJ

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“…1 The incidence is 1/ 6000-16000 live birth. 2 According to literature, lymphangioma occurring over chest wall is uncommon and is mostly seen in later gestation. 3 Lymphangiomas are classified into septate and non-septate, where septate and non-septate lymphangioma indicate complete and incomplete lymphatic obstruction respectively.…”

Section: Introductionmentioning

confidence: 99%

Giant fetal lymphangioma with non-immune hydrops fetalis

Paul¹,

Sakthigirisamy²,

Lakshmanan³

et al. 2020

Int J Contemp Pediatr

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Fetal lymphangioma is one of the rarest congenital malformation occuring in the newborn. We are reporting a giant fetal lymphangioma which may be the largest one so far reported in medical literature and its association with non immune hydrops fetalis. A late preterm 35+3 weeks gestation female neonate with birth weight of 3.8 kg was delivered via emergency caesarean section, for prevention of birth injuries in view of large for gestation. Baby had weak cry at birth. On examination a giant cystic mass extending from right hemithorax to right anterolateral abdominal wall measuring 25×12.5×9 cm was present. Systemic examination revealed respiratory distress and ascites. Neonate was admitted in NICU and started on supportive measures, despite which went into cardio respiratory arrest at second hour of life and revived with Cardiopulmonary resuscitation. Baby had second cardiopulmonary arrest at 9 hours of life and couldn’t be revived. Antenatal ultrasound showed massive ascites, bilateral pleural effusion with cardiomegaly and multiseptated cystic swelling over right chest wall. Based on clinical and antenatal findings we made a diagnosis of Giant fetal lymphangioma with non-immune hydrops fetalis. Giant fetal lymphangioma is an antenatal diagnosis. Its association with non-immune hydrops fetalis is a bad prognostic indicator with high mortality.

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How necessary is to analyze PTPN11 gene in fetuses with first trimester cystic hygroma and normal karyotype?

Gezdirici

Ekiz

Güleç

et al. 2016

The Journal of Maternal-Fetal & Neonatal Medicine

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Cystic hygroma (CH) is a vascular-lymphatic malformation and can occur either as an isolated finding or as a part of a syndrome. The incidence of CH is about 1:1000-1:6000 births. Ultrasonographic diagnosis of CH is usually obtained in the first trimester, and the lesion can appear in septated or non-septated forms. Increased nuchal translucency and CH have been associated with a wide range of structural and genetic abnormalities. Most of CHs are associated with a number of chromosomal abnormalities especially Trisomy 21, 13, 18 and Turner syndrome. Besides, the associations between CH and non-chromosomal syndromes were also reported and Noonan Syndrome (NS) is one of the leading causes. Approximately 50% of NS cases are caused by mutations in the PTPN11 gene. A novel PTPN11 mutation defined in two separate fetuses with CH and associated with NS phenotype is being reported here.

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Cystic hygroma with hydrops fetalis: a rare case report

Cited by 5 publications

References 6 publications

Hygroma Colli

Hygroma Colli

Giant fetal lymphangioma with non-immune hydrops fetalis

How necessary is to analyze PTPN11 gene in fetuses with first trimester cystic hygroma and normal karyotype?

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