Diagnostic anténatal d’un hémangiome du membre supérieur

We report the case of a G3P3 patient, referred to our Prenatal Diagnostic Unit with fetal and placental anasarca at 31w associated with premature rupture of membranes. Ultrasound showed anamnios, foetal anasarca, measurement of the peak systolic velocity of middle cerebral artery> 1.5 MoM and cutaneous thickening of the right upper limb suggesting vascularized fetal tumor. Power Doppler showed vessels depart from the aorta communicating with the right subclavian artery (A,B). Two hours after hospital admission, emergency cesarean section was performed due to acute fetal distress. Examination of the male newborn showed vascularized tumor involving and deforming the entire right upper limb, extending to the upper part of the thoracic region (C,D). Palpation detected a thrill confirmed by the presence of a murmur at the level of the tumor, sign of arteriovenous shunts. Newborn death occurred 30 minutes after the birth, despite active neonatal resuscitation.