Cystic Hygroma in Early Pregnancy with Spontaneous Miscarriage: A Case Report
M. Afroukh *
Children’s Hospital, Ibn Sina University Hospital Center, Rabat, Morocco.
I. Bensrhir
Souissi Maternity Hospital, Ibn Sina University Hospital Center, Rabat, Morocco.
A. Baidada
Department of Gynecology-Obstetrics and Gynecological Endoscopy (M1), Souissi Maternity Hospital, Ibn Sina University Hospital Center, Rabat, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Aims: To report a rare case of first-trimester cystic hygroma and emphasize its diagnostic and prognostic implications.
Case Presentation: A 42-year-old nulliparous woman with a history of miscarriage and first-degree consanguinity was admitted at 10 weeks of gestation for vaginal bleeding and lower abdominal pain. Ultrasound examination revealed a missed miscarriage associated with a multiloculated cervical/nuchal cystic hygroma. The pregnancy ended in spontaneous miscarriage within hours of admission. Genetic testing was declined.
Conclusion: First-trimester cystic hygroma is a rare anomaly with a poor prognosis, frequently associated with chromosomal aneuploidy and structural malformations. Early ultrasound detection and genetic evaluation are essential for accurate diagnosis, appropriate counseling, and guiding parental decisions, particularly in resource-limited settings.
Keywords: Cystic hygroma, lymphatic malformation, nuchal translucency, chromosomal abnormalities, Turner syndrome, prenatal diagnosis, case report