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Course and outcome of a pregnancy with a giant fetal cervical teratoma diagnosed prenatally
Author(s) -
AxtFliedner R.,
Hendrik H.J.,
Ertan K.,
Remberger K.,
Schmidt W.
Publication year - 2001
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.0960-7692.2001.00461.x
Subject(s) - medicine , polyhydramnios , gestation , neonatology , obstetrics , fetus , gestational age , pregnancy , obstetrics and gynaecology , teratoma , intubation , vaginal delivery , surgery , genetics , biology
Abstract We report the course and outcome of a pregnancy involving a giant fetal neck teratoma which was diagnosed at 23 weeks of gestation. Sonographic surveillance of the fetal neck revealed continuing growth of the tumor with development of polyhydramnios. Three‐dimensional ultrasound provided additional detailed information on the external extent of the lesion. Color Doppler ultrasound showed intense arterial and venous flow with low resistance indices. Cesarean section under general anesthesia was planned in close cooperation with the neonatologist, pediatric surgeon and anesthesiologist because the size of the neck mass precluded vaginal delivery. Cesarean section was performed at 34 weeks of gestation following preterm rupture of the membranes. Orotracheal intubation was not successful because of compression of the airway and a tracheostomy could not be performed because of the risk of severe fetal hemorrhage from the tumor. The neonate died from respiratory insufficiency 66 min after birth. Copyright © 2001 International Society of Ultrasound in Obstetrics and Gynecology