The Presence of Hydrops Fetalis in a Fetus With Congenital Mesoblastic Nephroma

Liu, Yuan-Chi; Mai, Yuen-Lun; Chang, Chung-Chen; Chen, Kuang-Wei; Chow, Song‐Nan

doi:10.1002/(sici)1097-0223(199604)16:4<363::aid-pd858>3.0.co;2-o

Cited by 21 publications

(10 citation statements)

References 10 publications

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“…Most likely the hydrops was caused by tumor compression and cardiac high‐output failure, since the tumor required an enormous blood supply. Many reports state that with the development of fetal hydrops the prognosis is dramatically impaired20, 21. The parents, therefore, received interdisciplinary counseling regarding further management and opted for maximal therapy, but in spite of the Cesarean section and immediate tumor surgery the preterm infant died of cardiac and respiratory insufficiency.…”

Section: Discussionmentioning

confidence: 99%

Prenatal sonographic features of a rhabdoid tumor of the kidney

Fuchs¹,

Henrich²,

Kalache³

et al. 2004

Ultrasound in Obstet & Gyne

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Section: Discussionmentioning

confidence: 99%

Prenatal sonographic features of a rhabdoid tumor of the kidney

Fuchs¹,

Henrich²,

Kalache³

et al. 2004

Ultrasound in Obstet & Gyne

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“…Furthermore, dystocia may complicate these deliveries due to the large size of the tumor. On very rare occasions, non-immune hydrops fetalis may be induced, possibly due to obstruction of the porto-caval circulation or high output cardiac failure if the tumor is angiomatous [16]. In addition, hypercalcemia, when not recognized and treated promptly, can lead to coma and death.…”

Section: Discussionmentioning

confidence: 99%

Congenital mesoblastic nephroma associated with polyhydramnios and hypercalcemia

Daskas¹,

Argyropoulou

Pavlou³

et al. 2002

Pediatr Nephrol

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Congenital mesoblastic nephroma (CMN) can present with atypical clinical and imaging findings. A premature male neonate was born to an 18-year-old woman after 33 weeks' gestation, which was complicated by polyhydramnios and placenta abruptio. A right abdominal mass was diagnosed antenatally. From the 1st day of life, the newborn had hypercalcemia with initially normal parathormone levels and polyuria for the first hours of life and normal urine output afterwards. Ultrasonographic study and magnetic resonance imaging of the abdomen showed at the upper pole of the right kidney a heterogeneous, solid, poorly defined mass, partially surrounded by a subcapsular fluid collection mimicking malignant rhabdoid tumor of the kidney. Surgical resection revealed a CMN of mixed, classic, and in areas, cellular type. One year after the resection, the patient is asymptomatic and normocalcemic. In conclusion, CMN may present with atypical clinical and imaging findings, necessitating an extensive work-up in order to exclude highly malignant renal tumors of the neonatal period.

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“…L'apparition d'un anasarque a aussi été rapportée [22,27]. Sa survenue est plus rare mais de mauvais pronostic avec un risque de décès de l'enfant in utero ou lors de la réani-mation néonatale.…”

Section: L'apparition D'un Anasarqueunclassified

“…Dans les deux cas rapportés, les enfants sont décé-dés en salle de naissance après échec des manoeuvres de réanimation, à respectivement 33 et 25 SA. Il existe aussi des diagnostics de NMC lors de conclusions autopsiques après décès inexpliqués de foetus dans un tableau d'anasarque [22].…”

Section: L'apparition D'un Anasarqueunclassified