Massive pericardial effusion treated with in utero pericardioamniotic shunt in a fetus with intrapericardial teratoma

Thora S. Steffensen, Ruben A. Quintero, Eftichia V. Kontopoulos, Enid Gilbert-Barness

Research output: Contribution to journalArticle

15 Scopus citations

Abstract

Teratoma is the leading neoplasm diagnosed in neonates and infants. Although over 99 of teratomas found in the fetus and newborn are histologically benign, those tumors may cause death if vital structures are involved or if the airway is compromised. We review the literature on antenatal intrapericardial teratomas and report a case of intrapericardial teratoma, with massive pericardial effusion and fetal hydrops, diagnosed on antenatal ultrasound at 21 weeks of gestation. Pericardioamniotic shunt was placed at 22 weeks and 6 days gestational age. In spite of successful drainage of the pericardial effusion, fetal demise was documented 8 days later, likely due to tumor compression of the heart.

Original languageEnglish (US)
Pages (from-to)216-231
Number of pages16
JournalFetal and Pediatric Pathology
Volume28
Issue number5
DOIs
StatePublished - Nov 4 2009

Keywords

  • Antenatal
  • Fetal hydrops
  • Fetal therapy
  • Intrapericardial teratoma
  • Pericardial effusion
  • Pericardioamniotic shunt

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Pediatrics, Perinatology, and Child Health

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