@article{Samedi_Elsharkawy_2017, place={Quartu Sant’Elena (CA, Italy)}, title={Rare lymphatic malformation in an extreme premature infant: question}, volume={6}, url={https://jpnim.com/index.php/jpnim/article/view/060209}, DOI={10.7363/060209}, abstractNote={<p>Our patient was born to a healthy 35-year-old Asian mother.</p><p>The pregnancy was uneventful until 25 weeks of gestational age (GA), when she had preterm prolonged rupture of membranes (PPROM). Ultrasound at that point showed a new finding (confirmed by MRI) of 4.7 x 4.1 cm heterogenous cystic skin-covered mass with areas of echogenicity on the posterior aspect of the fetus with blood flow to the mass and minimal vascularity overall.</p><p>The male infant was delivered at 26 <sup>+ 4</sup> weeks by emergency caesarian section for fetal distress with birth weight of 720 grams. A significant finding was a massive swelling over the upper back with a firm central mass. Total size of swelling was 10.2 x 12.2 cm, central cystic mass was smaller (5.0 x 4.2 cm), firm in consistency, slightly mobile, non-pulsatile, non-compressible and non-translucent. Examination of mass did not cause changes in vital signs, thus the mass was considered as a painless malformation.</p><ol><li>What is your diagnosis?</li><li>Which further investigations would you suggest?</li><li>Which subspecialties need to be involved in the management of this case?</li></ol>}, number={2}, journal={Journal of Pediatric and Neonatal Individualized Medicine (JPNIM)}, author={Samedi, Veronica Mugarab and Elsharkawy, Adel}, year={2017}, month={Aug.}, pages={e060209} }