| Mirror syndrome associated with sacrococcygeal teratoma: a case report. | |
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MedLine Citation:
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PMID: 17465292 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Mirror syndrome is associated with both nonimmune and immune hydrops fetalis. The clinical manifestations are quite varied, and the pathophysiology is poorly understood. We describe a case of mirror syndrome associated with afetus that had a rapidly growing sacrococcygeal teratoma (SCT) without overt hydrops. CASE: At 30 weeks' gestational age a fetus with SCT began to show early sonographic evidence of right heart failure, placentomegaly and polyhydramnios without overt fetal hydrops. Shortly after these findings were noted, the mother began to develop hypertension, epigastric pain, proteinuria and thrombocytopenia. These findings were all reversed after delivery of the fetus. Subsequent surgery on the infant was successful. CONCLUSION: Mirror syndrome has been linked with SCT and is usually associated with severe fetal hydropic changes. In our case the development of mirror syndrome preceded the manifestations of overt hydrops. Identification of early signs of fetal compromise or hydrops may help to predict patients who will develop mirror syndrome and improve outcomes with earlier intervention. |
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Authors:
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Peter S Finamore; Eftichia Kontopoulos; Mitchell Price; Gregg Giannina; John C Smulian |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of reproductive medicine Volume: 52 ISSN: 0024-7758 ISO Abbreviation: J Reprod Med Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-04-30 Completed Date: 2007-06-25 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0173343 Medline TA: J Reprod Med Country: United States |
Other Details:
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Languages: eng Pagination: 225-7 Citation Subset: IM |
Affiliation:
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Division of Maternal Fetal Medicine, University of Medicine and Dentistry/Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA. pfinamore@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Female Fetal Diseases / diagnosis*, prevention & control, surgery Gestational Age Humans Hydrops Fetalis / diagnosis*, prevention & control, surgery Infant, Newborn Pregnancy Pregnancy Outcome Sacrococcygeal Region* Teratoma / diagnosis*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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