Cystic hygroma, Turner syndrome

Fabrice Cuillier, MD*, Dhuyme B, MD**, Riviere JP, MD***

* Department of Gynecology, Felix Guyon Hospital, 97400 Saint- Denis, Reunion Islands, France; tel.: 0262 90 55 22; fax: 0262 90 77 30;
** Gynecologist, Moufia’s street, 97440 Saint Denis, Reunion Islands, France;
*** Department of Anatomy and Pathology, Felix Guyon Hospital, 97400, Saint Denis, Reunion Islands, France.

Case report

A 30-year-old G2P1 with no harmful environment or drug exposure, scanned at 13th week of pregnancy. We discovered a cystic hygroma (NT>8 mm), dilated jugular lymphatic sacs, perithoracic and periabdominal edema, and abnormal flat facial profile. An amniocentesis discovered Turner syndrome (45, X0). The same day the patient underwent a spontaneous miscarriage.

Images 1, 2. Sagittal plane through nuchal region (left) showing striking nuchal edema (cystic hygroma); transverse plane at the level of cervical spine showing dilated jugular sacs and hygroma colli (right).

1B
3B

Images 3, 4. 2D transverse plane through thorax (left) showing anasarca; 3D image showing cystic hygroma (right).

3C
2A


 

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