SavedAdd your journal

Journals / Marmara Medical Journal / 2019 / Cilt: 32 - Sayı: 2

Successful intrauterine treatment of nonimmune hydrops fetalis due to pericardial tumor

Aytül Çorbacıoğlu ESMER
Işıl BAKIRCI TURAN
Helen Aghdasi BORNAUN
Pages
90–93
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

After the infant was born at 37 weeks’ gestation, the masses shrunk spontaneously within five months

📌 3 Key Takeaways

🎯
Objective & Hypothesis:The prenatal diagnosis of pericardial tumor is extremely rare.
📊
Key Findings & Data:At 24 weeks’ gestation ascites, diffuse subcutaneous edema at the thorax and abdomen, scalp edema and two masses within severe pericardial effusion were detected.
💡
Conclusion & Impact:After the infant was born at 37 weeks’ gestation, the masses shrunk spontaneously within five months
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Pericardial tumor · Pericardiocentesis · Intrauterine treatment

Abstract

The prenatal diagnosis of pericardial tumor is extremely rare. It may have serious consequences such as massive pericardial effusion, cardiac tamponade, hydrops fetalis and fetal demise. We present a case of nonimmune hydrops fetalis secondary to pericardial mass which was successfully treated in utero by serial pericardiocentesis. Also, we present a review of the literature regarding the intrauterine interventions performed in pericardial tumor cases. At 24 weeks’ gestation ascites, diffuse subcutaneous edema at the thorax and abdomen, scalp edema and two masses within severe pericardial effusion were detected. After the pericardiocentesis performed at 25, 28 and 29 weeks’ gestation, ascites and scalp edema resolved, and the pericardial effusion regressed gradually. The size of masses did not change throughout the gestation. After the infant was born at 37 weeks’ gestation, the masses shrunk spontaneously within five months

🔖

Cite This Article

ESMER, A. Ç., TURAN, I. B., BORNAUN, H. A. (2019). Successful intrauterine treatment of nonimmune hydrops fetalis due to pericardial tumor. Marmara Medical Journal, Cilt: 32 - Sayı: 2, 90–93. https://ajindex.com/articles/283798

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (15)

  1. Holley DG, Martin GR, Brenner JI. Diagnosis and management of fetal cardiac tumors: a multicenter experience and review of published reports. J Am Coll Cardiol 1995;26:516-20. doi: 10.1016/0735-1097(95)80031-B
  2. Isaacs H. Fetal and neonatal cardiac tumors. Pediatr Cardiol 2004;25:252-73. doi:10.1007/s00246.003.0590-4
  3. Bruch SW, Adzick NS, Reiss R, et al. Prenatal therapy for pericardial teratomas. J Pediatr Surg 1997;32:1113-5. doi: 10.1016/ S0022-3468(97)90410-3
  4. Sklansky M, Greenberg M, Lucas V, et al. Intrapericardial teratoma in a twin fetus: Diagnosis and management. Obstet Gynecol 1997;89:807-9. doi:10.1016/S0029- 7844(97)00031-8
  5. Laquay N, Ghazouani S, Vaccaroni L, et al. Intrapericardial teratoma in newborn babies. Eur J Cardiothorac Surg 2003;23:642-44. doi:10.1016/S1010-7940(02)00861-8
  6. Tollens T, Casselman F, Devligrt H, et al. Fetal cardiac tamponade due to an intrapericardial teratoma. Ann Thorac Surg 1998;66:559-60. doi:10.1016/S0003-4975(98)00508-6
  7. Grebille AG, Mitanchez D, Benachi A, et al. Pericardial teratoma complicated by hydrops: successful fetal therapy by thoracoamniotic shunting. Prenat Diagn 2003,23: 735-9. doi: 10.1002/pd.698
  8. Rychik J, Khalek N, Gaynor JW, et al. Fetal intrapericardial teratoma: natural history and management including successful in utero surgery. Am J Obstet Gynecol 2016;215: 780. e1-e7. doi:10.1016/j. ajog.2016.08.010
  9. Bader R, Hornberger LK, Nijmeh LJ, et al. Fetal pericardial teratoma: presentation of two cases and review of the literature. Am J Perinatol 2006;23:53-8. doi: 10.1055/s—2005-923433
  10. Devliger R, Hindryckx A, Van Miegham T, et al. Therapy for foetal pericardial tumours: Survival following in utero shunting, and literature review. Fetal Diagn Ther 2009;25:407-12. doi:10.1159/000236156
  11. Riggs T, Sholl JS, Ilbawi M, et al. In utero diagnosis of pericardial tumor with successful surgical repair. Pediatr Cardiol 1984;5:23-6
  12. Paw PT, Jamieson SW. Surgical management of intraperciardial teratoma diagnosed in utero. Ann Thorac Surg 1997;64:552-4. doi:10.1016/S0003-4975(97)00585-7
  13. Todros T, Gaglioti P, Presbitero P. Management of a fetus with intrapericardial teratoma diagnosed in utero. J Ultrasound Med 1991;10:287-90. doi: 10.7863/jum.1991.10.5.287
  14. Perez-Aytes A, Sanchis N, Barbal A, et al. Non-immunological hydrops fetalis and intrapericardial teratoma: Case report and review. Prenat Diagn 1995;15:859-63. doi:10.1002/ pd.970150912
  15. Sepulveda W, Gomez