Beyond the norm: A case report and review on second trimester Cystic Hygroma with Hydrops Fetalis.

Samsudin, Suhaiza and Muniandy, Chitra and Che Yusof, Mohd Daud (2024) Beyond the norm: A case report and review on second trimester Cystic Hygroma with Hydrops Fetalis. Asian Journal of Medicine and Health Sciences, 7 (1). pp. 215-221. E-ISSN 2637-0603

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Abstract

A 33-year-old woman spontaneously conceived a foetus with cystic hygroma (CH) and underwent medical termination. The anomaly was detected early via routine ultrasound at a primary health clinic and subsequently referred to tertiary care. Due to financial constraints and the unacceptance of conceiving an abnormal foetus, the parents were not keen on genetic testing via amniocentesis or maternal serum, despite comprehensive genetic counselling by a Fetomaternal specialist. The prognosis of CH is poor and often related to chromosomal and major structural abnormalities. Undiagnosed CH before birth can lead to complications for the mother and foetus. Therefore, early ultrasonographic assessments, conducted by skilled personnel facilitate timely diagnosis. Clinicians must approach counselling with vigilance and take a holistic approach to addressing the patient’s factors in declining prenatal genetic screening. Given the possibility of a CH recurrence, offering prenatal genetic screening in future pregnancies is necessary. Therefore, ensuring the nationwide availability of these prenatal genetic screening tests at reduced costs is essential to make them accessible and affordable for all expectant mothers.

Item Type:	Article (Case Report)
Uncontrolled Keywords:	Keywords: cystic hygroma; prenatal genetic screening; ultrasonographic investigation
Subjects:	R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Family Medicine (Effective: 1st January 2011) Kulliyyah of Medicine
Depositing User:	Dr Suhaiza Samsudin
Date Deposited:	20 Dec 2024 16:17
Last Modified:	20 Dec 2024 16:17
URI:	http://irep.iium.edu.my/id/eprint/116994

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