VP20.12 : Lymphangioma : fetal neck mass, delivery of pregnancy through EXIT technique – case report, University Hospital San Ignacio (HUSI)

Gonzalez, R. A.; Morante, C.; Pardo, Myriam; Martinez, R.; Devia, C.; Valencia, L.

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dc.rights.licence	Atribución-NoComercial 4.0 Internacional	*
dc.contributor.author	Gonzalez, R. A.
dc.contributor.author	Morante, C.
dc.contributor.author	Pardo, Myriam
dc.contributor.author	Martinez, R.
dc.contributor.author	Devia, C.
dc.contributor.author	Valencia, L.
dc.date.accessioned	2021-06-19T02:18:19Z
dc.date.available	2021-06-19T02:18:19Z
dc.date.created	2020-10-15
dc.identifier	https://obgyn.onlinelibrary.wiley.com/doi/full/10.1002/uog.22649	spa
dc.identifier.issn	0960-7692 / 1469-0705 (Electrónico)	spa
dc.identifier.uri	http://hdl.handle.net/10554/54162
dc.format	PDF	spa
dc.format.mimetype	application/pdf	spa
dc.language.iso	spa	spa
dc.rights.uri	http://creativecommons.org/licenses/by-nc/4.0/	*
dc.title	VP20.12 : Lymphangioma : fetal neck mass, delivery of pregnancy through EXIT technique – case report, University Hospital San Ignacio (HUSI)	spa
dc.type.hasversion	http://purl.org/coar/version/c_ab4af688f83e57aa
dc.description.quartilescopus	Q1	spa
dc.identifier.doi	https://doi.org/10.1002/uog.22649	spa
dc.description.abstractenglish	Lymphangioma is a rare type of benign tumour, caused by a lack of development of the lymphatic's system components. This malformation is an accumulation of fluid mainly located in the posterolateral region of the neck in 75% of cases, followed by armpit 20%, mediastinum 1%, abdominal organs, mesenteric retroperitoneal in 2–3% & bone, lower limbs in 2%. This develops in the second and third trimester. It could be aggressive due to the infiltration in adjacent tissues or closer organs, additionally, it could be associated with chromosomal abnormalities or other malformations, basically, the prognosis depends weather it is present or not. In isolated forms, these tumours have a good prognosis. In cases where the malformation is found on the neck in the first trimester, the assessment, behaviour, name, management and etiology could be different and it is called increased NT. The prenatal management includes serial ultrasound in maternal-fetal unit, karyotyping, MRI to see the level of infiltration and the associated airway obstruction, and multidisciplinary team experienced in airways management. In cases of cervical lymphangiomas, the gestation delivery should be done by a Caesarean section (CS) with an EXIT technique in order to guarantee the fetal airway before separation of the maternal-fetal circulation. it is imperative to set up the procedure through a multidisciplinary team meeting, in order to assign each of the roles in surgery and to know the additional materials or procedures in accordance with the fetal airway compromise. In this case the diagnosis was confirmed by maternal medicine team as a cervical lymphangioma in the HUSI in Bogotá through US performed on the 34.5 week. Additionally, we used an MRI to assess the fetal airway and after words we booked meetings with an interdisciplinary team with the objective of planning the procedures and materials required during the delivery through a CS with an EXIT technique, following the institutional protocols.	spa
dc.type.local	Artículo de revista	spa
dc.contributor.corporatename	Pontificia Universidad Javeriana. Facultad de Medicina. Departamento de Ginecología y Obstetricia	spa
dc.identifier.instname	instname:Pontificia Universidad Javeriana	spa
dc.identifier.reponame	reponame:Repositorio Institucional - Pontificia Universidad Javeriana	spa
dc.identifier.repourl	repourl:https://repository.javeriana.edu.co	spa
dc.type.coar	http://purl.org/coar/resource_type/c_beb9	spa
dc.relation.ispartofjournal	Ultrasound in Obstetrics and Gynecology	spa
dc.description.indexing	Revista Internacional - Indexada	spa
dc.relation.citationvolume	56	spa
dc.relation.citationissue	S. 1	spa
dc.rights.coar	http://purl.org/coar/access_right/c_abf2	spa