OGP 6202 Ultrasound diagnosis of a fetal lymphangioma of peculiar localization

OBSTETRICS

OGP6204

OGP6202 ULTRASOUND LYMPIIANGIOMA ,A&rson

Tadeu

& GYNECOLOGY

DIAGNOSIS OF A FETAL OF PECULIAR LOCALIZATION

Berezowski,

Luis

Albert0

Manetta,

F.M.

Moraes Neto, Geraldo D. Duarte, Sergio P. Cunha Departamento de Ginecologia Medicina de Ribeir%o Preto-USP,

e Obstetricia, Faculdade Ribeir8o Preto, SP, Brazil.

de

Objective: To present a fetal diagnosis of axillary lymphangioma. The localization was peculiar and of good prognosis. Case report: E.A.G., 41 years old, GIPO, from Catanduva, presented a prenatal period of normal evolution. A single ultrasound examination performed during the 3rd trimester revealed the presence of a multiseptate image extending from the the thoraco-abdominal transition to the left axillary region (lymphangioma’? Hemangioma?), normal remaining fetal anatomy and biometry compatible with DUM (37 weeks). Routine prenatal laboratory tests were normal. Genetic evaluation of the fetus showed a normal karyotqpe. Abdominal delivery was performed in the presence of a pediatric surgical team. The infant was born with an Apgar score = 9 at 1 and 5 minutes. Weight was 3350 g and length 47.5 cm. No anatomical defects were observed except for a reddened area of cystic consistency on the left lateral portion of the chest The diagnosis of lympbangioma was confirmed and the infant was submitted to surgery with satisfactory results. Discussion and Conclusions: Septate hypoechogenic areas (angiomas) associated with advanced maternal age and/or other fetal malformations are correlated with various chromosomal diseases (especially trisomies). This ultrasound diagnosis suggested the diagnostic complementation of the fetal karyotype and in this case. exceptionally. an anatomically and genetically normal infant could be submitted to surgical correction of its pathology. with a good neonatal prognosis.

PRENATAL DIAGNOSIS OF A BENIGN FACIAL TUMOR Joti Ant&nio MaoalhBes, Rosi Pereira Baibtnotto, Maria Mercedes da Fonseca, Ricardo Palma Dies, Henrique Papich, Fernando Freitas OB-GYN Service - Hospital de Clinicas de Port0 Alegre. Brazil ALPHA Ultrasound Clinic- Port0 Alegre, Brazil We report the case of a healthy white pregnant woman who carried a fetus with a solid facial protuberance on the chin diagnosed prenatally at 27 weeks on a routine scan. The gestation was complicated by polyhydramnios, diagnosed at 22 weeks on a scan performed due to increased uterine height for ages. Besides these findings, no other anomalies were identified on the scans. The gestation was interrupted by cesarean section at 38 weeks afler a oligohydramnios eventually developed. At birth the newborn had a facial appendicular tumor measuring 2.0 cm in diameter, probably of ectodermal origin. Doppler-ultrasound studies have ruled out the possibilii of a hemangioma that would penetrate deeper into the face and neck. The removal of the lesion and consequently the histopathological diagnosis are not yet available, being scheduled for when the baby reaches the age of 3 months.

OGP6203

OGP6205

BILATERAL MULTICYSTIC DYSPLASTIC KIDNEYS DUE TO POSTERIOR URETHRAL VALVE Mareus A Triooia, Maurizio PedrPztani. Carlos B. Trippia, Guilherme Saadrhti De Toai. Servieo de Ecografia, Hospital de Clinicas, Curitiba-PR, Brasil.

Axillary Cystic Hygroma: A case Report Cassis-Martinez R, Arosemena I, Duran G, Andrade E, Vizueta C,Franco .I. Kennedy Hospital, Guayaquil. Ecuador.

The presence of an obstructive process to the urinary Bow that attacks fetus in early pregnancy, is the principal factor for the development of renal cystic dysplasia. In this case. the obstruction happens more frequently at the level of ureteropelvic junction and is unilateral. The bilateral renal involvement can occur due to urethral obstruction or in genetical syndromes, such as in the Meckel-Gruber syndrome. The authors report the case of a fetus that had bilateral muticystic dysplastic kidneys due to posterior urethral valve. The histopathologic analises confirmed the clinical findings and demonstred that the fetus had the Prune-Belly syndrome We emphasize with these data, the importance of the ultrasound diagnostic. the differential diagnosis and the pathologic correlation.

Introduction: Axillary Cystic Hygroma are rarely report in the obstetric practice. Case: A 26 years old G:2 P:2 C:l patient underwent routine ultrasound examination at I6 weeks of gestation.She had a normal anteparhun control1 and any family history of anomalies. We found a cystic mass in the right axilla and this mass extended over the right chest&e diameter was 38x35x39mm.The probable diagnosis was cystic hygroma. The fetus was observed each 6 weeks and we found any other anomalies in the female fetus. The baby born by cesarean secction with a good apgar and postnatal resecction of the mass ; the pathologic study was a axillary hygroma.

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