Decompression of fetal axillary lymphangioma to prevent dystocia.

Abstract:

BACKGROUND:Lymphangiomas are commonly diagnosed by prenatal ultrasound. These anomalies are most often cervical, but occasionally present in the axilla, thorax and abdomen. We present a case in which intrauterine drainage was followed by an uneventful vaginal delivery. CASE:A 30-year-old G4P3 female was referred to our ultrasound unit at 36 weeks of gestation for evaluation of a large cystic chest wall mass. Ultrasound demonstrated a large septated mass along the left chest wall up to the apex of the axilla of the fetus. The left arm was held in 90 degrees abduction due to the mass. Because of concern about shoulder dystocia at delivery the cystic mass was aspirated under ultrasound guidance and the patient underwent an uneventful induction of labor. CONCLUSIONS:Intrauterine decompression of large axillary lymphangiomas may obviate concern about a shoulder dystocia and avoid the need for cesarean sections.

journal_name

Fetal Diagn Ther

authors

Kaufman GE,D'Alton ME,Crombleholme TM

doi

10.1159/000264305

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

218-20

issue

3

eissn

1015-3837

issn

1421-9964

journal_volume

11

pub_type

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