Abstract
Fetal mesentric lymphangioma, a congenital fetal abdominal cystic malformation has a rare occurrence. Antenatal detection, its differential diagnosis, prenatal management options and parental counseling regarding postnatal prognosis of such a case are thus rarely discussed. We report two cases of antenatally detected fetal cystic abdominal mass with a provisional diagnosis of abdominal lymphangioma. Postnatally one of the neonates developed features of intestinal obstruction and required surgical intervention. Intra-operative findings and histopathology report confirmed a mesentric lymphangioma. The other neonate had associated subcutaneous lymphangiectasia in left lumbar region, left sided inguinal hernia, undescended testes and was asymptomatic postnatally and managed conservatively.
Highlights
The detection rate of fetal abdominal cysts and other anomalies is increasing with wide spread use of antenatal ultrasonography
Fetal abdominal cystic lesions can be detected from late first trimester ultrasonography scan but, it is difficult to make a precise diagnosis antenatally
We report two cases of antenatally detected mesenteric lymphangiomas, in which one of the fetuses presented with intestinal obstruction and operated in the neonatal period and other was asymptomatic till one year of age and was managed conservatively
Summary
Fetal Abdominal Cystic Lesion: A Diagnostic Dilemma and Prognostic Challenge-Report of Two Cases of Mesentric Lymphangioma with Review of Literature. Minakshi Rohilla[1], Sujata siwatch[2], Muneer Abbas Malik[3], Tanuja Muthyala4,*, Ram Samujh[5], Narasimhan Kannan[5]
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