Experience of intrauterine treatment to fetal cystic hygroma: A report of two cases

K. Ogita, S. Suita, T. Taguchi, T. Yamanouchi, K. Tsukimori, H. Nakano

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Abstract

This paper hypothesized that sclerotherapy of fetal cystic hygroma might reduce the size of cysts and thus hydrops fetalis might be cured. The experience with two cases of intrauterine treatment to fetal cystic hygroma using OK-432 are reported. Case 1: The cyst was divided into four parts with septum and the size of each part was 3 cm in diameter. Intrauterine treatments were performed twice and were effective. At birth, the neonate had only small skin folds in the nuchal area. However, he developed respiratory distress syndrome and died. Case 2: The cyst was divided into four parts with septum and the maximal size of the each cyst was 8 cm in diameter. Severe hydrops fetalis and bradycardia were also associated. Intrauterine treatment was performed immediately. The fetus developed intrauterine fetal death the next day. The karyotype was revealed to be 45XO. Sclerotherapy using OK-432 is thought to be an effective treatment for fetal cystic hygroma, if the candidate is selected carefully. However, for cases with severe hydrops fetalis, they are recommended to undergo intrauterine treatment with some additional treatment. Further investigation is needed in order to establish the indication of intrauterine treatment to fetal cystic hygroma.

Original languageEnglish
Pages (from-to)315-317
Number of pages3
JournalAsian Journal of Surgery
Volume23
Issue number4
Publication statusPublished - Jan 1 2000

All Science Journal Classification (ASJC) codes

  • Surgery

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    Ogita, K., Suita, S., Taguchi, T., Yamanouchi, T., Tsukimori, K., & Nakano, H. (2000). Experience of intrauterine treatment to fetal cystic hygroma: A report of two cases. Asian Journal of Surgery, 23(4), 315-317.