Prenatal diagnosis of a large abdominal cyst – Recommendations and management

Ramy Abramsky, Admit Ben Haim, Kyla Marks, Esther Maor, Dan Tirosh, Reli Hershkovitz, Ilan Shelef, Dragan Kravarusic, Antonella Nahom Di Veroli

Research output: Contribution to journalArticlepeer-review

Abstract

This case report describes a twin fetus diagnosed in the third trimester with an enlarging abdominal mass that was confirmed on fetal magnetic resonance imaging (MRI) to be a hepatic mesenchymal hamartoma (HMH) without involvement of the placenta. Serial ultrasonography demonstrated progressive enlargement of the mass and infant was delivered at 33 + 6 weeks gestational age following maternal complications. On the fifth day, at laparotomy, a huge mass connected to the lower portion of the liver was completely resected. Microscopic evaluation confirmed a hepatic mesenchymal hamartoma. Postoperative recovery was uneventful and the infant was discharged at 4 weeks. The antenatal diagnosis of the hepatic mesenchymal hamartoma by fetal MRI and subsequent follow-up by serial ultrasonography emphasizes the importance of combining these 2 modalities for optimal management of the pregnancy to allow a favorable outcome.

Original languageEnglish
Pages (from-to)22-25
Number of pages4
JournalJournal of Pediatric Surgery Case Reports
Volume29
DOIs
StatePublished - 1 Feb 2018

Keywords

  • Abdominal cyst
  • Mesenchymal hamartoma
  • Prenatal diagnosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

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