CASE REPORT:
A 22-year-old primiparous woman with a 26.5-week pregnancy was referred
to the maternal-fetal medicine department of the Colombia University
Clinic for obstetric ultrasound due to the finding of a mass in the
cervical region in anatomical detailed ultrasound. The patient had no
significant history and normal prenatal control paraclinical findings.
An ultrasound was performed in which a predominantly cystic mass was
found with multiple septa inside, without color Doppler uptake, with
dimensions of 32 x 26 mm in largest diameter, which goes from the lower
cervical and left lateral area to the suprascapular region, suggesting
as the first diagnostic possibility of lymphangioma, which is why it was
decided to refer to the fetal anomalies board of the department for
ultrasound evaluation.
She was evaluated at 28.2 weeks by the fetal anomalies board in which a
fetus was found with a septated cervical and left lateral cystic lesion
with growth towards the thoracic region with significant uptake on color
Doppler, in addition to this finding an enlarged persistent left
superior vena cava with effect from a shunt to a lesion described in the
cervical region, thus defining that it was a hemangio-lymphangioma, with
no secondary obstructive effect (FIGURE 1). The rest of the ultrasound
evaluation was normal. It was then decided to call the patient for a
follow-up in 3 weeks to assess the behavior of the lesion.