2009-08-27-15 Cervical lymphangioma © Asali www.thefetus.net/
Othman A. R. M. Al-Asali, MD*; Manal Al-Hakim, MD**; Mohammad Al-Zughoul, MD**; Fayez Yassen, MD***; Omer Jabour, MD***; Ammar Alyousef, MD***.
* Maternity Department, Al-Hammadi Hospital, Riyadh, Saudi Arabia;
** Department of Radiology, Al-Hammadi Hospital, Riyadh, Saudi Arabia;
*** Paediatric Department, Al-Hammadi Hospital, Riyadh, Saudi Arabia.
The following images show a case of cervical lymphangioma of a fetus
A 37-year-old woman (G6P4), with negative family history of congenital diseases, attended our antenatal unit at 11+6 weeks of her pregnancy. No fetal abnormalities were found at that time. The patient did not take any medication.
She presented again at 34 weeks of the pregnancy and the ultrasound examination revealed a large cystic mass protruding to the right of the fetal neck and extending over the right fetal shoulder, suggestive of the lymphangioma. The finding was accompanied by polyhydramnios.
The newborn was delivered by cesarean section (3800 g, boy, Apgar scores 8, 10) and the diagnosis was confirmed. No other anomalies were found.
Images 1, 2, 3, 4, and 5: 34 weeks of pregnancy; the images show several scans of the fetal cervical region with a cystic mass concordant with cervical lymphangioma.
Images 6, 7: 3D images showing the fetal head and neck with a mass of lymphangioma.
Images 8, 9, 10: Postnatal appearance of the baby wit the cervical lymphangioma.
Image 11: Diaphanoscopic image of the cervical lymphangioma.