Hygroma Colli
(1) Sub Division of Maternal Fetal Medicine, Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang
(2) Obstetrics and Gynecology Departement, Faculty of Medicine Andalas University Padang
(*) Corresponding Author
DOI: https://doi.org/10.25077/aoj.5.2.262-268.2021
Abstract
Background : Hygroma coli is a malformation of the lymphatic system in the form of a membrane cyst filled with fluid, limited by the epithelium that is located in the anterolateral or occipito-cervical region. The prenatal diagnosis of cystic hygroma coli by ultrasound is based on an apparently bilateral, mostly symmetrical, and sometimes unilateral cystic structure located in the occipitocervical region. Large hygroma coli can cause pressure on the respiratory tract and digestion, so it requires management as soon as possible.The main treatment modality is surgical excision to remove the cystic lesion. The prognosis of a hygroma coli cyst depends on its size and the action taken because it is rare for cases to experience spontaneous regression.
Destination : Reported a case of hygroma colli
Methods : Case Report
Case Report : Case 24 years old women with preterm G1P0A0L0 26-27 weeks + Hygroma colli + IUFD + Suspected COVID-19. On ultrasound examination, it was found that BPD =4,71; AC = 15,91; FL = 2,89; EFW = 330 gr; FHR = (-); Cyst = 5,06 x 3,26. The presence of head presentation, IUFD, hygroma colli was found. The patient was planned for labor induction and the progress of labor was followed. Patient provided inform consent that baby was death during pregnancy and need to be labored. The baby was born, weight 300 gr, body length 14 cm and A/S 0/0. Postmortem physical examination revealed findings of hygroma colli infants such membrane cyst filled with fluid that located in the occipito-cervical region.
Conclusion: Hygroma colli is a malformation of the lymphatic system and the prognosis or complications depends on the size of cyst. Careful prenatal examination is required in diagnosis and termination of pregnancy
Keywords: Hygroma Colli, prenatal diagnosis
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Sjamsuhidajat, R. et al. 2010. Buku Ajar Ilmu Bedah-de Jong Edisi 3. Jakarta : EGC. Hal 461 – 465.
Acevedo L. Jason. 2011. Cystic Hygroma. Diunduh dari
http://www.emedicine.medscape.com/article/994055-overview#a0101 pada tanggal 21 Oktober 2020.
Kamble V., Bhatia T., Patil Shaifali. 2014. Cystic hygroma with hydrops fetalis : a rare case report. International Journal of Reproduction, Contraception, Obstetric and Gynecology. September : 3 (3): 847 – 850. Diunduh dari www.ijrcog.org pada tanggal 21 Oktober 2020.
Bilal Mirza, et al .2011 .Cystic Higroma. Department of Pediatric Surgery, The Children's Hospital and The Institute of Child Health, Lahore, Pakistan. Diunduh dari www.jcasonline.com pada tanggal 21 Oktober 2020.
Sabih, Durre. 2011. Cystic Hygroma Imaging. Diunduh dari www.medicine.medscape.com/article/402757-overview pada tanggal 21 Oktober 2020.
Turkington, et all. Neck Masses in Children. In British Journal Radiologi (2005) 78, 75-88. British Institute of Radiology. Diunduh dari www.bjr.birjournals.org/cgi/content/full/78/925/75 pada tanggal 21 Oktober 2020.
Nyberg, A., David, M.D., Mc Gahan P John, M.D., Pretorius H. Dolores, M.D, Pilu Gianluigi, M.D. 2003. Diagnostic Imaging of Fetal Anomalies. Lippincott williams & wilkins. 530 Walnut street. Philadelphia,PA 19106. USA.
Varma, Thangam R. Cystc hygroma, colli. London: St. George’s Hospital & Medical School. Diunduh dari www.sonoworld.com/fetus/page.aspx?id=202 pada tanggal 21 Oktober 2020.
Trager, Jochen, Seidensticker, Peter. 2008. Head and Neck in Paediatric Imaging Text Book. Chapter 3:39-40.
Wiley, John. 2003. Prenatal Diagnosis of a Huge Cystic Hygroma Colli. Journal Ultrasound Obstet Gynecol; 22: 323–324. Published online in Wiley Inter Science. Diunduh dari www.onlinelibrary.wiley.com/doi/10.1002/uog.219/pdf pada tanggal 21 Oktober 2020.
Sandhyarani, Ningthoujam. Anatomy of neck. Diunduh dari www.buzzle.com/articles/anatomy-of-neck.html pada tanggal 21 Oktober 2020.
Pameijer, Frank et all. 2009. Neck spaces - Infrahyoid Neck ;Normal Anatomy and Pathology. Radiology Department of the University Medical Centre of Utrecht, the Rijnstate Hospital in Arnhem and the Rijnland hospital in Leiderdorp, the Netherlands. Diunduh dari www.radiologyassistant.nl/en/49c603213caff pada tanggal 21 Oktober 2020.
Ellis, Harrold. 2006. The Vein of The Head and Neck. In Clinical Anatomy Text Book. UK: Blackwell publishing. Part 5::304.
Departemen of Human Genetics of Medicals Genetics. Cystic Higroma. Emory University of Human Genetics. Diunduh dari www.genetics.emory.edu/.../Emory_Human_Genetics_Cystic_Hy... - Amerika Serikat pada tanggal 21 Oktober 2020./
Wilson, JW. 1995. Neonatal Respiratory Obstruction due to Hygroma Colli Cysticum. Hospitals Group, Northern Ireland, City and County Hospital, Londonderry.
Domansky, Mark, et all. 2007. Pediatric Neck Masses. Diunduh dari www.utmb.edu/otoref/grnds/pedi-neck-mass.../pedi-neck-mass-071021.pdf pada tanggal 21 Oktober 2020
Estroff, JA. 2001. Nuchal translucency in Turner syndrome. In: Cohen HL, Sivit CJ, eds. Fetal & Pediatric Ultrasound. Columbus, OH: McGraw-Hill; 36-8.
Amin, Umar et all. 2007. Cystic Hygroma an Unusual Cause of Induced Abortion in Journal: J Ayub Med Coll Abbottabad 2007; 19(1) : 61. Diunduh dari www.docpdf.info/articles/hygroma+report+a+case.html pada tanggal 21 Oktober 2020.
Graesslin, et all. 2007. Characteristics and Outcome of Fetal Cystic Hygroma Diagnosed In the First Trimester. Acta obstet Gynecol Scand. 86(12):1442-6.
Chervenak,FA, et all. 1983. Fetal Cystic Higroma. Cause ang Natural History. N ; J Med, Oct 6; 309(14):822-5.
Rasidaki M, Sifakis S, Vardaki E, et all. Prenatal diagnosis of a fetal chest wall cystic lymphangioma using ultrasonography and MRI: a case report with literature review. Fetal Diagn Ther. Nov-Dec 2005; 20 (6):504-7.
Cohen HL. Ascites and pleural effusion in hydrops. In: Cohen HL, Sivit CJ, eds. Fetal and Pediatric Ultrasound. New York, NY: McGraw-Hill;2001:79-82.
Mota R, Ramalho C, Monteiro J, et all. Envolving indication for the exit procedure: usefulness of combining ultrasound and fetal MRI. Fetal Diagn Ther. 2007; 22(2):107-11.
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