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Obstetrics » Obstetrics 2nd And 3rd Trimester
Cystic hygroma with hydrops
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Author(s) :
Ravi Kadasne, MD
 
Presentation This is the fetal scan in a woman who presented for a routine second trimester antenatal ultrasound examination at 20 weeks of gestation.
 
 
 
Caption: Scans of the fetal head
Description: A large multi-loculated cystic structure is seen at the level of the fetal neck.
 
 
 
Caption: Scans of the cystic mass and the fetus
Description: There is evidence of oligohydramnios. The multi-loculated cystic mass is noted again.
 
 
 
Caption: Scans of the fetal neck
Description: The cystic mass labeled as ‘C’ is seen in close proximity to the fetal head and is seen to surround the fetal neck. The neck has been labeled as ‘N’.
 
 
 
Caption: Scans of the fetal head
Description: The skin surrounding the fetal head is grossly thickened, suggestive of scalp edema.
 
 
 
Caption: Scans of the fetal thorax
Description: There is evidence of bilateral pleural effusions as marked by the arrows.
 
Differential Diagnosis Cystic hygroma with hydrops
 
Final Diagnosis Cystic hygroma with hydrops
 
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