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一例罕见病例报告:孕中期早期的囊性水瘤合并胎儿水肿。

A rare case report: An early second trimester cystic hygroma with hydrops fetalis.

作者信息

Tsegaye Mesfin Ayalew, Adugna Alemayehu Nigusssie, Abchale Abel Benti, Ayano Solomon Muleta, Tesfay Rebecca Haile

机构信息

Department of Obstetrics and Gynecology, Dilla University, College of Medicine and Health Sciences, Dilla, Ethiopia.

出版信息

Radiol Case Rep. 2024 Nov 11;20(1):632-636. doi: 10.1016/j.radcr.2024.10.065. eCollection 2025 Jan.

Abstract

Cystic hygroma is a congenital lymphatic malformation characterized by fluid-filled cysts, often located in the neck or axillary regions, and is associated with significant fetal morbidity and mortality. This case report details a 32-year-old gravida 7 para 6 at 15 weeks of gestation, diagnosed prenatally with a large cystic hygroma exhibiting septation in the cervicoccipital and axillary region, accompanied by bilateral pleural effusion, pericardial effusion and subcutaneous edema. This report underscores the importance of early diagnosis and the need to carefully consider management options in cases of cystic hygroma with fetal hydrops.

摘要

囊状水瘤是一种先天性淋巴管畸形,其特征为充满液体的囊肿,常位于颈部或腋窝区域,与胎儿的高发病率和死亡率相关。本病例报告详细介绍了一名32岁、孕7产6的孕妇,在妊娠15周时产前诊断出一个巨大的囊状水瘤,在枕颈部和腋窝区域有分隔,伴有双侧胸腔积液、心包积液和皮下水肿。本报告强调了早期诊断的重要性,以及对于伴有胎儿水肿的囊状水瘤病例仔细考虑治疗方案的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fac7/11585464/561edac729f9/gr1.jpg

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