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Successful intrauterine shunting of a sacrococcygeal teratoma (SCT) causing fetal bladder obstruction
Author(s) -
Jouannic JeanMarie,
Dommergues Marc,
Auber Frédéric,
Bessis Roger,
NihoulFekete Claire,
Dumez Yves
Publication year - 2001
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.147
Subject(s) - sacrococcygeal teratoma , medicine , shunting , in utero , surgery , percutaneous , oligohydramnios , teratoma , fetus , pregnancy , genetics , biology
We report a case of a sacrococcygeal teratoma (SCT) diagnosed at 22 weeks with a substantial intrapelvic cystic extension leading to bladder outlet obstruction and hydronephrosis at 27 weeks. Prenatal percutaneous shunting of the cystic teratoma was performed at 28 weeks to avoid prolonged fetal pelvic compression by the tumour that could have adverse effects by stretching the pelvic plexus and sacral nerves. Urinary dilatation resolved completely after shunting and a 3880 g baby girl was delivered at 39 weeks. The potential benefits of in utero shunting to avoid urological complications of SCTs with intrapelvic extension are discussed. Copyright © 2001 John Wiley & Sons, Ltd.