Fetal goitre due to hypothyroidism

Case contributed by Dr Vikas Jhanwar

Presentation

A 25 year old female patient presented with polyhydramnios.

Patient Data

Age: 25 years
Gender: Female
Modality: Ultrasound

Pregnancy of 32-33 weeks with polyhydramnios and having a well defined neck mass which was homegenously isoechoic well defined and at anterior part of neck. Mass also shows extensive vascularity. Fetus shows normal heart rate and normal bone maturation but showing increased fetal movements. 

Case Discussion

The differential diagnosis of fetal neck mass includes fetal goiter, cervical teratomacystic hygroma and lymphangioma 

  • cervical teratomas are heterogeneous (solid cystic) in echotexture, may show calcification and usually are very large. Teratoma's usually occurs in the antero-lateral part of neck.
  • cystic hygromas are usually cystic lesion with septations and usually are present posterior to the neck 
  • lymphangioma also has a cystic appearance
  • goiter is well defined, solid homogeneous mass, present at anterior part of neck

An antenatal diagnosis of a fetal goiter was made due to hypothyroidism. This was confirmed by postnatal clinical and lab examination of baby.

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Case Information

rID: 23926
Case created: 17th Jul 2013
Last edited: 26th Feb 2016
System: Obstetrics
Inclusion in quiz mode: Included

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