2007-12-29-03 Fetal goiter © Quiroga www.thefetus.net/
Héctor Quiroga, MD; Corina Garcìa MD.
Hospital Central Universitario Antonio María Pineda. Barquisimeto. Estado Lara-Venezuela.
A 23-year-old patient was sent to our unit at 32 weeks of pregnancy because of a sustained fetal tachycardia. During our ultrasonographic examination a bilobed cervical mass was detected on the fetus. The mass showed a rich vascularization and considering the location of the mass we suspected fetal goiter. Laboratory tests of the mother showed hyperthyroidism. The baby was delivered by a cesarean section at 38 weeks and 24 hours later presented with a thyroid storm and had to be placed at the intensive care neonatal unit. Five days later the baby was discharged and is doing well.
Images 1, 2: The image 1 shows a gray scale scan of the fetal neck with a slightly hypoechoic mass. The image 2 shows a color Doppler imagination of the mass representing the fetal goiter.
Images 3, 4: The image 3 shows a gray scale scan of the fetal neck with a slightly hypoechoic mass. The image 4 shows a color Doppler imagination of the mass representing the fetal goiter.
Images 5, 6: Postnatal appearance of the baby"s neck with the goiter (image 5); the image 6 shows the neck of the mother"s neck with goiter. She had hyperthyroidism during her pregnancy.