Cystic lymphangioma in a newborn thoracic cavity: postmortem СT and MRI imaging during pathological examination

Tumanova U.N., Lyapin V.M., Kozlova A.V., Bychenko V.G., Shchegolev A.I.

The literature data were analyzed and the own observation of a newborn boy with cystic lymphangioma of the thoracic cavity, which was complicated by the development of nonimmune fetal hydrops and lung hypoplasia, is presented. In the presented observation, polyhydramnios and cysts of the left lung were detected in the fetus with ultrasound of a pregnant woman at 23 weeks. Delivery was performed by cesarean section at 38 weeks in connection with the onset of labor and the development of violations of utero-placental blood flow. The death of the newborn occurred despite intensive care. According to postmortem radiation and autopsy studies, cystic lymphangioma of the thoracic cavity was revealed, which was complicated by the development of nonimmune fetal hydrops and lung hypoplasia, which in turn were the direct cause of death. An important component of the autopsy study was the implementation of postmortem MRI and CT. This made it possible to establish the exact location and size of the cystic formation, to diagnose nonimmune fetal hydrops with a quantitative assessment of the volume of free fluid in the serous cavities and the severity of anasarca, as well as to diangostate the degree of hypoplasia of the lungs. Verification of lymphangioma was carried out during histological and immunohistochemical studies.

V.I. Kulakov National Medical Research Center for Obstetrics,

Gynecology and

Perinatology.

Moscow, Russia.

 

Keywords: lymphangioma, nonimmune fetal hydrops, lung hypoplasia, newborn, autopsy, postmortem computed tomography (CT), postmortem magnetic resonance imaging (MRI).


Corresponding author:  Tumanova U.N., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Tumanova U.N., Lyapin V.M., Kozlova A.V., Bychenko V.G., Shchegolev A.I. Cystic lymphangioma in a newborn thoracic cavity: postmortem СT and MRI imaging during pathological examination. REJR 2019; 9(3):215-228. DOI:10.21569/2222-7415-2019-9-3-215-228.

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Received:        28.06.19 Accepted:       11.07.19