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2011-12-20-12 Case of the week #311 © Krasnov www.TheFetus.net


Answer to the case of the week #311


February 2, 2012 - February 16, 2012

Alexander Krasnov, MD*, Elena Buryachenko, MD*, Andrey Averyanov, MD*, Irina Glazkova, MD*, Raphael Abdullin, MD**.

* Donetsk`s regional specialized center of medical genetic and prenatal diagnosis, Ukraine;
** Donetsk regional Children's hospital, Ukraine.

(Edited by F.G.)

Case report

The following images represent an interesting case of fetal chest hemangioma. It was a first pregnancy of a non-consanguineous couple. Ultrasound scan at 13 weeks did not show any anomalies. Triple test came out normal. The anomaly was first diagnosed at 21st week and our differential diagnosis also included the hemangioma. The neonate (female) was delivered at term. Histological examination confirmed the diagnosis of the capillary hemangioma.
 
Images 1, 2, 3, and 4: 21st week of pregnancy; the images represent sagittal and transverse scans of the fetal chest with tumorous mass protruding out of the chest wall.

 

 

Images 5, 6: 21st week of pregnancy; images show 3D appearance of the fetal chest with tumorous mass protruding out of the chest wall (arrow on the image 5).

 
 
Images 7, 8: 21st week of pregnancy; the images show color Doppler and spectral Doppler scans of the fetal thorax at the level of the chest hemangioma showing its blood perfusion.

 

Image 9: 21st week of pregnancy; the image shows female gender of the fetus.



Images 10, 11: The images show histological specimens of the capillary hemangioma.

  

Videos 1, 2, 3: 21st week of pregnancy; the videos show sagittal and transverse scans of the fetal thorax with the tumorous mass protruding out of the anterior chest wall (hemangioma).

 

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