Cutis Marmorata Telangiectatica Congenita Presenting as a Fetal Hemothorax

Fetal Diagn Ther. 2019;45(4):281-284. doi: 10.1159/000488487. Epub 2018 May 23.

Abstract

We report a case of a fetus diagnosed at 28 weeks' gestation with a spontaneous prenatal hemothorax. Fetal intervention consisted of 2 thoracenteses with analysis of the pleural effusion. The pregnancy was further complicated by recurrence of the hemothorax, with subsequent mediastinal shift, hydrops, and nonreassuring antenatal testing requiring delivery at 31 weeks' gestation. Postnatal workup established the diagnoses of cutis marmorata telangiectatica congenita (CMTC) and pulmonary lymphangiectasia. The child is currently 4 years old and without any active medical issues or sequelae from the CMTC, pulmonary lymphangiectasia, or prenatal interventions.

Keywords: Cutis marmorata telangiectatica congenita; Fetal hydrothorax; Fetal thoracentesis; Thoracoamniotic shunt.

Publication types

  • Case Reports

MeSH terms

  • Diagnosis, Differential
  • Female
  • Hemothorax / diagnostic imaging*
  • Humans
  • Livedo Reticularis
  • Pregnancy
  • Prenatal Diagnosis
  • Skin Diseases, Vascular / complications
  • Skin Diseases, Vascular / diagnosis*
  • Telangiectasis / complications
  • Telangiectasis / congenital*
  • Telangiectasis / diagnosis

Supplementary concepts

  • Cutis marmorata telangiectatica congenita