Case of the Week # 98

Eleni Tzachrista, MD, Philippe Jeanty, MD, PhD

June 27 - July 10

Athens, Greece & Nashville TN

This is a second trimester fetus with the following images of the neck:

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Answer

A fetus with a large facial mass. The fetus was diagnosed with severe lymphangioma and hemangioma. Surgery was completed initially to take out a portion in the chin, with hopes that the swelling would go down. A week later a tracheostomy was performed in due to the weight of the mass. The third week another surgery was done to stop some of the bleeding in the left cheek. MRI confirmed a massive lymphomatous malformation consistent with cystic hygroma within the neck with airway compromise. No focal parenchymal lesions are seen within the brain.

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