Non‐immunological hydrops fetalis and intrapericardial teratoma: Case report and review

Pérez-Aytés, Antonio; Sanchis, Nuria Rojo; Barbal, Agnes; Artés, Maria Jose; J, Domene; Chirivella, Melitina; Baamonde, A.

doi:10.1002/pd.1970150912

Cited by 36 publications

(23 citation statements)

References 17 publications

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“…The majority of the masses which grew led to NIH. Of the 13 case reports cited in the literature which developed hydrops, only 1 fetus survived [2,11,20,33]. This fetus had the diagnosis of pericardial teratoma and hydrops made at 33 weeks' gestation and underwent emergent delivery, requiring two pericardiocenteses postnatally prior to curative operative resection [14].…”

Section: Discussionmentioning

confidence: 99%

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Prenatal Resection of a Fetal Pericardial Teratoma

Sydorak¹,

Kelly²,

Feldstein³

et al. 2002

Fetal Diagn Ther

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Objective: Pericardial teratomas are rare congenital tumors which invade the developing mediastinum, compressing the venous return to the heart, leading to hydrops. Tumors, with large cystic components, have been treated previously with in utero pericardiocentesis with some success. We present the first reported case of in utero open resection of a fetal pericardial teratoma. Methods: A 31-year-old G1P0 woman was found to have a fetus with a pericardial teratoma. Hydrops developed at 24 weeks’ gestation. After counseling, open fetal resection was performed via a fetal median sternotomy. Results: Although the tumor was successfully removed, the hydrops did not resolve. In addition, over the course of 3 weeks, the mother developed maternal mirror syndrome which prompted an emergent cesarean section. Neonatal death ensued shortly after birth. Conclusions: The fetus with a pericardial teratoma complicated by hydrops is compromised. Treatment options include early delivery, aspiration of the pericardial effusion, and in utero operative resection.

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Section: Discussionmentioning

confidence: 99%

“…Significant obstruction from large masses or associated pericardial effusions can lead to cardiac tamponade and nonimmune hydrops (NIH). Once NIH develops, fetal demise rapidly ensues [11].…”

Section: Discussionmentioning

confidence: 99%

Prenatal Resection of a Fetal Pericardial Teratoma

Sydorak¹,

Kelly²,

Feldstein³

et al. 2002

Fetal Diagn Ther

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“…1,9 Other thoracic masses that should be included in the differential diagnosis are cardiac tumors, mediastinal teratomas, extralobar pulmonary sequestration, cystic adenomatoid malformation, and ventricular aneurysm. 9,10 In all of these entities, pericardial effusion is an infrequent finding. Therefore, the presence of a moderate to large pericardial effusion indicates that the lesion arises from the pericardium.…”

Section: Discussionmentioning

confidence: 98%

Prenatal sonographic detection of pericardial teratoma

Bustamante

Azpeitia

Miralles

et al. 2000

J. Clin. Ultrasound

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Patients with pericardial teratomas usually present shortly after birth with cardiorespiratory distress or in utero with hydrops fetalis. We report a case in which the tumor was diagnosed in utero using sonography during a routine obstetric examination. Sonograms showed a 3‐cm echogenic mass compressing the right atrium. The lesion was inhomogeneous with solid and cystic areas. The fetus was followed to term, and additional radiologic studies were performed before the infant underwent surgery. Prenatal identification of a pericardial teratoma is essential for planning fetal management and delivery and potential prenatal surgery. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:194–198, 2000.

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“…When an intrapericardial teratoma is diagnosed with a large pericardial effusion that causes impending cardiac tamponade, in utero pericardiocentesis has been successful in salvaging the fetus (Benatar et al, 1992). Perez-Aytes et al (1995) reported that a fetus with intrapericardial teratoma and hydrops fetalis may die in utero without intervention. More recently, Bruce et al (1997) described a case of intrapericardial teratoma diagnosed at 25 weeks of gestation with hydrops.…”

Section: Discussionmentioning

confidence: 99%