Prenatal thoracoabdominal tumor mimicking pulmonary sequestration: a diagnosis dilemma

Abstract

Thoracoabdominal masses are among the many congenital anomalies being detected in fetus. The differential diagnosis of such anomalies include cystic adenomatoid malformation, pulmonary sequestration, neuroblastoma, lymphangioma, congenital diaphragmatic hernia, and bronchial atresia. We report a fetal thoracoabdominal mass that proved to be an angioma that was treated by partial embolization. Complete regression was observed.

Prenatal diagnosis of pulmonary sequestration using three‐dimensional power Doppler ultrasound

“…Detection of a systemic artery from the aorta to the fetal lung mass by 2D color power Doppler sonography is a key feature for the diagnosis of fetal pulmonary sequestration, but this is not 100% sensitive5. Distinguishing pulmonary sequestration from Type III congenital cystic adenomatoid malformation (CCAM) would be of interest in order to inform the parents and to plan the postnatal management6–9.…”

Clinical Features of Neonates with Hydrops Fetalis

“…Prenatal manifestations of the congenital diaphragmatic hemangioma include polyhydramnios, hydrothorax, and cardiac shift. 22 This case demonstrated that with prenatal ultrasound confirming unilateral pleural effusion, MRI should be considered to exclude fetal congenital diaphragmatic hemangiomas. Fetal ultrasound or MRI can show high echogenic masses in the chest.…”

“…Fetal ultrasound or MRI can show high echogenic masses in the chest. 22,23 Lymphatic Vessel Diseases 1. Primary lymphatic vessel abnormalities: CPL causes chylothorax and systemic lymphatic dilatation syndrome.…”

A unique case of a giant congenital pulmonary hemangioma in a newborn

“…Rapidly involuting congenital hemangiomas, including multifocal and visceral hemangiomas, may take weeks to months to involute, favoring a concerted, patient effort at nonoperative management in newborns whose symptoms from the hemangioma are clinically favorable [11]. A previous congenital thoracoabdominal angioma showed signs of significant spontaneous regression by 6 months, at which time it was amenable to embolization [12]. The use of steroids to promote involution in a neonate is not without potential morbidity with regard to long-term developmental effects.…”