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- Title
Prenatally diagnosed congenital hemangioma with elevated middle cerebral artery peak systolic velocity mimicking the Kasabach‐Merritt phenomenon: A case report.
- Authors
Someya, Masayuki; Sasahara, Jun; Yamamoto, Satoshi; Sawada, Akihisa; Nishikawa, Masanori; Ishii, Keisuke
- Abstract
Congenital hemangioma is a rare vascular tumor that develops prenatally, and a large congenital hemangioma may be accompanied by the Kasabach‐Merritt phenomenon. We present a case of prenatally diagnosed fetal congenital hemangioma through ultrasound and maternal anti‐Jr(a) antibody alloimmunization with elevated middle cerebral artery peak systolic velocity. To investigate fetal anemia and hemostatic condition, we performed percutaneous umbilical blood sampling, which revealed no symptom of either Kasabach‐Merritt phenomenon or sensitization to anti‐Jr(a) antibody. Consequently, pregnancy could be continued without further intervention. After birth, congenital hemangioma was found on the infant's left thigh, and Kasabach‐Merritt phenomenon was not shown. Percutaneous umbilical blood sampling could provide precise information prenatally in case of congenital hemangioma with maternal alloimmunization.
- Subjects
HUMAN abnormalities; DOPPLER ultrasonography; BLOOD flow measurement; CEREBRAL arteries; DIFFERENTIAL diagnosis; FETAL ultrasonic imaging; HEMANGIOMAS; HEMODYNAMICS; EVALUATION of medical care; PREGNANCY; PRENATAL diagnosis; RH factor; RH isoimmunization; CORDOCENTESIS; KASABACH-Merritt syndrome; CONGENITAL hemolytic anemia; FETUS
- Publication
Journal of Obstetrics & Gynaecology Research, 2019, Vol 45, Issue 12, p2456
- ISSN
1341-8076
- Publication type
Article
- DOI
10.1111/jog.14121