Cystic hygroma

Case contributed by Dr Maulik S Patel

Presentation

Presented with 13 wks 6 days amenorrhea without any complaints. Previous failed early pregnancy about 10 months back.

Patient Data

Age: 35 years
Gender: Female
Ultrasound

Single live intrauterine fetus shows a cystic lesion involving posterior cervical region. It shows extension to thoracic region. There are multiple septa within the lesion. Rest of the fetal anatomical survey was normal for maturity which corresponded to the period of amenorrhea.

Photo

Abortus shows redundant soft tissue in the cervical region.

Case Discussion

Ultrasound findings favor cystic hygroma. Later, chorionic villus sampling was done by fetal medicine consultant. Karyotyping revealed trisomy 21.

Abortus photo: Courtesy treating obstetric surgeon Dr. Drashti R. Patel.

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