Prenatal Diagnosis of Congenital Mesenchymal Hamartoma of Li
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Introduction
Increase use of antenatal ultrasound has resulted in greater incidence of prenatal diagnosis of congenital malformations. Many anomalies which manifest in the third trimester are diagnosed, as serial growth of fetus is monitored by ultrasound. Fetal abdominal cyst with normal kidneys and liquor in the third trimester is probably ovarian cyst, mesenteric cyst, or rarely mesenchymal hamartoma of liver as reported in this case. Mesenchymal hamartoma is a cystic benign tumor, but rapid growth to enormous size can lead to fetal hydrops and demise. Case report with management and review of the literature of congenital mesenchymal hamartoma of liver is presented.

Case Report
A 25-year-old primigravida was referred to us at 38 weeks for management of cardiac disease complicating pregnancy. Incidentally, during antenatal ultrasound, an intra-abdominal anechoic cyst, just above the level of kidneys, measuring 7 × 8?cm was noted. Bladder was visualized separately. Placenta was situated in the upper segment and amniotic fluid index was normal. Intra-abdominal organs, heart, and diaphragm were not displaced. Estimated fetal weight was 2.3?kg suggesting mild IUGR. Provisional diagnosis of either mesenteric, ovarian, or duplication cyst was considered. She had mitral valve prolapse with NYHA class I. Since cyst was neither compressing other organs nor distending abdomen, vaginal delivery was planned.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335557/
Like
Comment
Share