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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Baby Is Developing Cystic Hygroma. Can Can Anyone Help Me With This ?

hi,um 12 weeks pregnant now,i discovered by first screen ultrasound that my baby has thickened nuchal fold of 4.6mm,i had a previous abortion few months b4 because i was told that my baby had also thickened nuchal fold ,meningocele(as they told me),hydrops,ascitis & intestinal anomalies (they didn t tell the name of the anomalies of intestine),i believe it was cystic hygroma & they misdiagnosed it as meningocele as i searched on the net & i saw u/s images of the cystic hygroma & it looks like my first baby & how it is associated with ascitis & hydrops,then i remembered that my younger sister was born with a swelling in her neck & it resolved spontaneously,& me & my husband r first cousins but no family history of any chromosomal anomalies.so i just wanna ask about my present pregnancy after these information i gave u ,is it possible that this baby is developing cystic hygroma ?& is it related 2 consanguinity ? what shall i do in this stage knowing that i have arranged 4 genetic counseling 4 me & my husband & 4 the baby i will do CVS within approximately 10 days ? is there any extra advice or information that can help me now?,thank u so much
Sun, 13 Mar 2011
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General Surgeon 's  Response
It is nuchal translucency,which you are talking about .4mm is definitely on higher side .Keeping mind your past history you must consult genetic councilor .CVS ,level 3 sonogarphy & fetal echocardiography is a must.You have slightly higher risk of fetal anomalies .Disclaimer
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Radiologist Dr. Radha Narayanan's  Response
Hi!
Cystic hygroma is collection of fluid at the nape of the fetus.More than 3 mm measurement is significant .Many underlying causes are attributed 1)genetic defects 2)intrauterine infection 3)heart defects 4) onset of fetal edema or hydrops.Since you had a history of CH before it is apt that you go in for genetic counselling which includes-CVS,level 3 scan at 15 week for heart.
Yes consanguinity puts you at a slightly higher risk for genetic diseases vis a vis non consanguinous marriages.All the Best.
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Baby Is Developing Cystic Hygroma. Can Can Anyone Help Me With This ?

It is nuchal translucency,which you are talking about .4mm is definitely on higher side .Keeping mind your past history you must consult genetic councilor .CVS ,level 3 sonogarphy & fetal echocardiography is a must.You have slightly higher risk of fetal anomalies .Disclaimer