EP12.01: Fetal cervical lymphangioma: prenatal diagnosis and treatment

Abstract

Results: In all 24 cases of PHM, the fetuses died in first trimester or within 20mm in CRL. These placental cysts were unrecognised in half cases by ultrasonography in pregnancy. The umbilical cords inserted into the normal placental site in CHMCF cases, and into multiple vesicular area in PMD cases. We recognised the some vessels in these PMD placentas, but few in molar placentas. In all CHMCF cases, the boundary between the normal placenta with fetus and the molar placenta was clear. Moreover, in 3 cases of these, there was fluid around the small cysts. In 2 cases out of 5 PMD, although there were some normal appearance area, the boundary was unclear. In the remaining 3 cases, no normal placental area was found. These all placentas didn't include the fluid area. No fetal anomalies were noted in both CHMCF and PMD. Conclusions: In cases of PHM, fetuses demised in first trimester. The following findings were useful to distinguish PMD from CHMCF in vesicular pattern placenta with a fetus after second trimester; first, the placenta cord was inserted into normal area in CHMCF. Secondary, the placental dividing line was clear, and sometimes vesicular area had fluid and few vessels in CHMCF. The lymphangioma is a non-common cervical lesion that can be diagnosticated by ultrasound in the prenatal period. It can be associated with a large number of pathologies and the evolution is determinate by the association of local damage that it can generate, which can be evaluated prepartum. This clinical case is of a pregnant patient with a cervical lymphangioma that was diagnosticated at the 24 weeks in the obstetric echography of routine. This case was evaluated and managed given the location and size with the EXIT (ex utero intrapartum treatment) procedure at 37 weeks; optimising in this way the management of the airway. In this case, the pathology was diagnosed pre-natal and managed during the partum by an invasive procedure that was fundamental to have a favourable obstetric outcome; we can conclude that the multidisciplinary evaluation is the key to have good results in this type of pathology. EP12: THORAX AND ABDOMENSupporting information can be found in the online version of this abstract We report a case of a 38-year-old pregnant woman who was referred to our centre at 19 gestational week for fetus ventricular septal defect. A reference sonography conducted at the 20th gestational week confirmed the heart condition, and identified a voluminous placental chorioangioma associated to an excess of amniotic liquid. Then, an amniocentesis was realised to verify the fetal karyotype and a DNA microarray, which came back normal with a feminine karyotype. At the 27 gestational week, was found a dilatation of the transverse colon to the rectum, leading us to perform a thorough exam of the fetal pelvis where we noted the two-part uterus with 3D rendered in coronal view. A fetal MRI was performed at the 29th gestational week showing no anomalies at the abdominal and at the pelvis floor. Finally, the patient delivered at 39 gestatio...