Mesenteric cystic lymphangioma: a prenatal diagnostic challenge

Teixeira, Luciano; Castro, Mário Jorge Barreto Viegas; Leite, Jose O; Teixeira, Henrique Couto; Teixeira, Ricardo; Pettersen, Heverton; Julio, Couto

doi:10.1002/pd.1680

Cited by 6 publications

(4 citation statements)

References 12 publications

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“…Lymphatic malformations are benign congenital lesions consisting of dysplastic lymphatic spaces typically filled with chylous or serous fluid . These lesions may arise as early as the sixth week of gestation, and are likely the result of failed communication between the developing lymphatic channels and venous circulation .…”

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confidence: 99%

“…Given this association, a normal pediatric outcome is expected in only 17% of all cases of first‐trimester septate cystic hygroma . Nonnuchal lesions carry a more variable prognosis depending on their growth rate and infiltration of surrounding organs or tissue, and some nonnuchal lymphatic malformations, such as mesenteric lesions, can be associated with trisomy 18 and 21 and genetic syndromes such as Turner, Noonan, and Fryns …”

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confidence: 99%

“…L ymphatic malformations are benign congenital lesions consisting of dysplastic lymphatic spaces typically filled with chylous or serous fluid. [1][2][3][4][5][6][7][8][9][10] These lesions may arise as early as the sixth week of gestation, and are likely the result of failed communication between the developing lymphatic channels and venous circulation. 2,4 Lymphatic malformations can range in size from a few millimeters to several centimeters, and most commonly occur in lymphatic-rich regions.…”

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confidence: 99%

“…3 Nonnuchal lesions carry a more variable prognosis depending on their growth rate and infiltration of surrounding organs or tissue, and some nonnuchal lymphatic malformations, such as mesenteric lesions, can be associated with trisomy 18 and 21 and genetic syndromes such as Turner, Noonan, and Fryns. 8 The growth and extent of the lesion are primary factors in predicting the outcome of the gestation; thus, serial sonographic examinations are important. Large fetal lymphatic malformations may require prenatal aspiration of cystic components or operative delivery including cesarean delivery or the ex utero intrapartum treatment (EXIT) procedure to avoid perinatal complications, such as hypoxia.…”

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confidence: 99%

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Fetal Lymphatic Malformations: More Variable Than We Think?

et al. 2017

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Lymphatic malformations are benign lesions that result from abnormal development of the lymphatic and venous systems. These lesions may be detected during routine prenatal ultrasound screening, and typically demonstrate imaging findings of a multiseptate cystic lesion lacking solid components, vascularity, and calcifications. We report 73 cases of prenatally detected lymphatic malformations and describe greater variability in their prenatal sonographic appearance than previously reported, including purely cystic lesions and mixed cystic and solid lesions with calcifications. Appreciation of this increased variability is important in providing accurate prenatal diagnosis, counseling, and management.

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confidence: 99%

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confidence: 99%