Color Doppler imaging of the thyroid gland in a fetus with congenital goiter: a case report.
Fetal goiter is a rare disorder, usually associated with maternal thyroid disease. Antenatal diagnosis of fetal goiter is crucial for the immediate postpartum management of these neonates. A case report is presented of an antenatally diagnosed fetal goiter induced by antithyroid medications. Color Doppler was used to demonstrate a high flow pattern that, unlike in the adult goiter, was associated with hypothyroidism in the neonate. A scan of fetal neck region is recommended in patients with current or previous history of thyroid disease, or if neck extension is noted on routine examination of fetal spine.
Soliman
S
S
Department of Obstetrics and Gynecology, McMaster University Medical Centre, Hamilton, Ontario, Canada.
McGrath
F
F
Brennan
B
B
Glazebrook
K
K
D000328:Adult; D005260:Female; D005315:Fetal Diseases / Q000139:chemically induced / Q000000981:diagnostic imaging*; D006042:Goiter / Q000139:chemically induced / Q000151:congenital / Q000000981:diagnostic imaging*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy; D011441:Propylthiouracil / Q000009:adverse effects / Q000627:therapeutic use; D013961:Thyroid Gland / Q000000981:diagnostic imaging; D013971:Thyrotoxicosis / Q000188:drug therapy; D014465:Ultrasonics; D016216:Ultrasonography, Prenatal / Q000379:methods*
D011441:Propylthiouracil