Abstract
We report a case of epignathus teratoma diagnosed at 22 weeks of gestation in which 3-dimensional ultrasound (3DUS) was useful to plan perinatal management. A significant enlargement of the tumor, associated with polyhydramnios and preterm labor, was observed at 35 weeks of gestation. After amniotic fluid evacuation, 3DUS was performed in the presence of pediatricians, obstetricians, and otolaryngologists. Three-dimensional ultrasound revealed that great part of the tumor was located outside the fetal mouth and anterior to fetal mandible, suggesting that the newborn could breathe spontaneously by nasal via. A cesarean section with longitudinal hysterotomy was performed at 36 weeks followed by an immediate extirpation of the tumor and the intubation of the newborn. The management of this rare case illustrates that the ex utero intrapartum treatment (EXIT) procedure is not always necessary in this situation. Besides, the actual prenatal goal consists on carefully selecting fetuses with epignathus teratoma that will need the EXIT procedure from those that will not. Three-dimensional ultrasound and magnetic resonance imaging in association with 2DUS can be helpful in this prenatal selection.
| Original language | English (US) |
|---|---|
| Journal | Journal of Pediatric Surgery |
| Volume | 40 |
| Issue number | 11 |
| DOIs | |
| State | Published - Nov 1 2005 |
| Externally published | Yes |
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Keywords
- 3-Dimensional ultrasound
- Epignathus
- EXIT procedure
- Magnetic resonance imaging
- Prenatal diagnosis
- Teratoma
- Ultrasound
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Surgery
Cite this
The impact of 3-dimensional ultrasonography on perinatal management of a large epignathus teratoma without ex utero intrapartum treatment. / Ruano, Rodrigo; Benachi, Alexandra; Aubry, Marie Cecile; Parat, Sophie; Dommergues, Marc; Manach, Yves.
In: Journal of Pediatric Surgery, Vol. 40, No. 11, 01.11.2005.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - The impact of 3-dimensional ultrasonography on perinatal management of a large epignathus teratoma without ex utero intrapartum treatment
AU - Ruano, Rodrigo
AU - Benachi, Alexandra
AU - Aubry, Marie Cecile
AU - Parat, Sophie
AU - Dommergues, Marc
AU - Manach, Yves
PY - 2005/11/1
Y1 - 2005/11/1
N2 - We report a case of epignathus teratoma diagnosed at 22 weeks of gestation in which 3-dimensional ultrasound (3DUS) was useful to plan perinatal management. A significant enlargement of the tumor, associated with polyhydramnios and preterm labor, was observed at 35 weeks of gestation. After amniotic fluid evacuation, 3DUS was performed in the presence of pediatricians, obstetricians, and otolaryngologists. Three-dimensional ultrasound revealed that great part of the tumor was located outside the fetal mouth and anterior to fetal mandible, suggesting that the newborn could breathe spontaneously by nasal via. A cesarean section with longitudinal hysterotomy was performed at 36 weeks followed by an immediate extirpation of the tumor and the intubation of the newborn. The management of this rare case illustrates that the ex utero intrapartum treatment (EXIT) procedure is not always necessary in this situation. Besides, the actual prenatal goal consists on carefully selecting fetuses with epignathus teratoma that will need the EXIT procedure from those that will not. Three-dimensional ultrasound and magnetic resonance imaging in association with 2DUS can be helpful in this prenatal selection.
AB - We report a case of epignathus teratoma diagnosed at 22 weeks of gestation in which 3-dimensional ultrasound (3DUS) was useful to plan perinatal management. A significant enlargement of the tumor, associated with polyhydramnios and preterm labor, was observed at 35 weeks of gestation. After amniotic fluid evacuation, 3DUS was performed in the presence of pediatricians, obstetricians, and otolaryngologists. Three-dimensional ultrasound revealed that great part of the tumor was located outside the fetal mouth and anterior to fetal mandible, suggesting that the newborn could breathe spontaneously by nasal via. A cesarean section with longitudinal hysterotomy was performed at 36 weeks followed by an immediate extirpation of the tumor and the intubation of the newborn. The management of this rare case illustrates that the ex utero intrapartum treatment (EXIT) procedure is not always necessary in this situation. Besides, the actual prenatal goal consists on carefully selecting fetuses with epignathus teratoma that will need the EXIT procedure from those that will not. Three-dimensional ultrasound and magnetic resonance imaging in association with 2DUS can be helpful in this prenatal selection.
KW - 3-Dimensional ultrasound
KW - Epignathus
KW - EXIT procedure
KW - Magnetic resonance imaging
KW - Prenatal diagnosis
KW - Teratoma
KW - Ultrasound
UR - http://www.scopus.com/inward/record.url?scp=27744591105&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=27744591105&partnerID=8YFLogxK
U2 - 10.1016/j.jpedsurg.2005.07.059
DO - 10.1016/j.jpedsurg.2005.07.059
M3 - Article
C2 - 16291137
AN - SCOPUS:27744591105
VL - 40
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 11
ER -