Cystic hygroma - antenatal

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

G1P0 at 28 weeks gestation.

Patient Data

Age: 30 years
Gender: Female
ultrasound

The fetal biometry was at 28 weeks + 3 days.

Large well-defined nuchal cyst mass with internal septations.

No evidence of fetal anasarca/hydrops fetalis is seen.

No other morphological fetal anomalies were seen.

Case Discussion

Ultrasound features of a nuchal cystic hygroma, also known as cystic or nuchal lymphangioma, refer to congenital macrocystic lymphatic malformations that most commonly occur in the cervicofacial regions, particularly at the posterior cervical triangle in infants. Associated aneuploidic anomalies may be seen in approximately 65% of cases.

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