Mediastinal cystic hygroma: prenatal decompression with neonatal resection and recurrence at 19 months of age
Muraskas, J.K.; Gianopoulos, J.G.; Husain, A.; Black, P.R.
Journal of Perinatology Official Journal of the California Perinatal Association 13(5): 381-384
1993
ISSN/ISBN: 0743-8346 PMID: 8263623 Document Number: 417404
A case of an anterior mediastinal cystic hygroma detected prenatally at 22 weeks' gestation is reported. Because of progressive nonimmune hydrops, cardiac compromise, and mediastinal shift compressing the lungs, in utero decompression was successfully performed at 24 weeks. This newborn infant was delivered at 37 weeks' gestation with no respiratory distress. Operative excision of a large thoracic cystic hygroma was performed shortly after birth. At 19 months of age, this patient appeared with unilateral wheezing and fever. Operative findings confirmed recurrence of a cystic hygroma.