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Intrapericardial teratoma with hydrops leading to in utero demise
Author(s) -
Pachy F.,
Raiffort C.,
Mechler C.,
Zilberman S.,
Mandelbrot L.
Publication year - 2007
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.1798
Subject(s) - in utero , medicine , tamponade , pericardial effusion , demise , decompression , teratoma , prenatal ultrasound , effusion , surgery , prenatal diagnosis , pregnancy , fetus , genetics , political science , law , biology
We report a case of intrapericardial teratoma following in utero demise at 29 weeks with nonimmune hydrops. The diagnosis was strongly suggested by ultrasound findings and confirmed by fetopathology. The mechanism whereby intrapericardial teratomas may lead to hydrops and death is massive pericardial effusion responsible for compressive tamponade. When prenatal diagnosis is performed before this stage, in utero interventions can obtain decompression, and the birth can be planned with rapid and appropriate management of the neonate. Copyright © 2007 John Wiley & Sons, Ltd.