Vascular lymphatic malformation with uncommon localization
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v25.i1.8829Keywords:
Prenatal diagnosis, magnetic resonance imaging, ultrasonography, vascular lymphatic malformationAbstract
Introduction: Vascular lymphatic malformations are rare entities that affect lymphatic vessels. The authors report a case of abdominopelvic lymphatic malformation.
Case Report: 28 years-old, Gestation 2, Birth 1. Referred to Prenatal Diagnosis Center at the 20th week of gestation by ultrasound suggestive of abdominopelvic lymphatic malformation, confirmed by fetal magnetic resonance imaging. Fetal cytogenetic study was normal. Couple being aware of prognosis after discussion with Pediatric Surgery. Cesarean section at 38th week. Prenatal diagnosis was confirmed by newborn´s examination. At 18 months, the child underwent intralesional sclerotherapy. At 4 years, surgical excision of the lesion was performed because of symptomatic development. Always showed normal development and growth.
Discussion/Conclusion: Prenatal diagnosis is sonographic; fetal magnetic resonance imaging confirms the diagnosis and defines more precisely the extent of the lesions. Clinical and sonographic vigilance should be maintained in order to detect decompensation or hydroptic signs and compression of adjacent structures.
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