| Percutaneous laser ablation of sacrococcygeal teratoma in a hydropic fetus with severe heart failure--too late for a surgical procedure? | |
| | |
MedLine Citation:
|
PMID: 19129708 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Sacrococcygeal teratoma (SCT) is the commonest solid fetal tumor. Perinatal prognosis is usually favorable, but sometimes it can be complicated by fetal hydrops being responsible for high risk of mortality. Fetal therapy in such cases has so far not been established. We report a case with a giant solid SCT associated with fetal hydrops and severe heart failure. 2D- and 3D-Doppler ultrasonography revealed great vessels originated from the medial sacral artery. Percutaneous laser ablation of these vessels was performed at 24 weeks of gestation. During the procedure, severe anemia was also diagnosed (hemoglobin 4.3 g/dl). Two days later, the fetus died and pathological examination revealed local tumor necrosis and blood hemorrhage inside the mass. We suggest that in such cases, fetal surgery may not be enough, being too late, and perhaps fetal clinical therapy for anemia and heart failure could be the best option at a gestational age of less than 28 weeks. |
| | |
Authors:
|
Rodrigo Ruano; Sergio Duarte; Marcelo Zugaib |
Related Documents
:
|
15963998 - Pregnancy outcome for rh-alloimmunized women. 8429468 - Prenatal management of congenital cystic adenomatoid malformation of the lung. 2518588 - When to perform the next intra-uterine transfusion in patients with rh allo-immunizatio... 16601468 - Fetal anaemia as a cause of fetal injury: diagnosis and management. 12815908 - Outcome of intracytoplasmic injection of fresh and frozen-thawed testicular spermatozoa... 7454758 - A study of radon emitted from building materials using plastic alpha-track detectors. |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2009-01-08 |
Journal Detail:
|
Title: Fetal diagnosis and therapy Volume: 25 ISSN: 1421-9964 ISO Abbreviation: Fetal. Diagn. Ther. Publication Date: 2009 |
Date Detail:
|
Created Date: 2009-08-26 Completed Date: 2009-11-17 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9107463 Medline TA: Fetal Diagn Ther Country: Switzerland |
Other Details:
|
Languages: eng Pagination: 26-30 Citation Subset: IM |
Copyright Information:
|
(c) 2009 S. Karger AG, Basel. |
Affiliation:
|
Obstetrics Department, Faculty of Medicine, São Paulo University, São Paulo, Brazil. rodrigoruano@hotmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Female Fetus / pathology, surgery* Heart Failure / complications*, ultrasonography Humans Hydrops Fetalis / surgery*, ultrasonography Laser Therapy Pelvic Neoplasms / complications, surgery*, ultrasonography Pregnancy Sacrococcygeal Region / surgery, ultrasonography Teratoma / complications, surgery*, ultrasonography Time Factors Ultrasonography, Prenatal |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Craniorachischisis totalis: a case report and review of the literature.
Next Document: Aerodynamics of the pseudo-glottis.