Giant mediastinal capillary hemangioma in a fetus: a case report
10.3760/cma.j.cn113903-20200830-00889
- VernacularTitle:胎儿纵隔巨大毛细血管瘤一例
- Author:
Dongmei TANG
1
;
Xilin WEN
;
Zexuan YANG
;
Zhimin HU
;
Zhengbing YANG
;
Dan LUO
;
Sumei WEI
Author Information
1. 电子科技大学医学院附属妇女儿童医院，成都市妇女儿童中心医院重症产科 610091
- Keywords:
Mediastinal neoplasms;
Hemangioma, capillary;
Fetal diseases;
Pregnancy;
Pleural effusion;
Magnetic resonance imaging
- From:
Chinese Journal of Perinatal Medicine
2021;24(8):627-630
- CountryChina
- Language:Chinese
-
Abstract:
We describe a rare case of fetal mediastinal capillary hemangioma presenting as pleural effusion and a huge pleural occupying lesion during late pregnancy. The patient was admitted at 36 +3 weeks of gestation, with a fetal chest occupying lesion for 11 days. Routine prenatal ultrasound and MRI indicated right pleural effusion and a huge chest occupying lesion in the fetus. The woman was administered oxytocin and delivered a live baby boy at 36 +5 weeks of gestation. The baby was diagnosed as mediastinal hemangioma by postnatal CT, angiography and 3D reconstruction and was discharged after oral propranolol treatment. However, he was readmitted one month after birth due to "pneumonia and tachypnea". After multidisciplinary consultation, the baby underwent a right-side thoracic mediastinal mass resection, and a mediastinal capillary hemangioma was confirmed by pathology. The child continued taking propranolol orally and received regular follow-up and rehabilitation after the operation up to 7 months old, by which time no obvious abnormalities were found.
