Prenatal Diagnosis of a Giant Epignathus in the Second Trimester and Immediate Successful Management at Birth: A Case Report
Abstract. Epignathus is an extremely rare congenital oropharyngeal teratoma. Here, we report a case of epignathus without intracranial extension in a fetus. The mass was first found by ultrasonography at 22 gestational weeks. Serial ultrasound examinations and magnetic resonance imaging confirmed th...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2023-04-01
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| Series: | Maternal-Fetal Medicine |
| Online Access: | http://journals.lww.com/10.1097/FM9.0000000000000116 |
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| author | Xiaoyu Hu Yijing Chu Yunqing Chen Min Zhao Xiaofei Wang Lin Xu Dandan Shi |
| author_facet | Xiaoyu Hu Yijing Chu Yunqing Chen Min Zhao Xiaofei Wang Lin Xu Dandan Shi |
| author_sort | Xiaoyu Hu |
| collection | DOAJ |
| description | Abstract. Epignathus is an extremely rare congenital oropharyngeal teratoma. Here, we report a case of epignathus without intracranial extension in a fetus. The mass was first found by ultrasonography at 22 gestational weeks. Serial ultrasound examinations and magnetic resonance imaging confirmed that the fetus had neither central nervous system involvement nor abnormal nose or tooth. The baby was delivered at 37 weeks and six days of gestation via cesarean section set up for ex-utero intrapartum treatment. The postnatal pathologic examination confirmed the presence of mature tissues predominantly containing ectopic central nervous tissue, osseous tissue, and bronchial mucosal tissue. Most cases of epignathus are associated with malformation and death. Ultrasound and magnetic resonance imaging prenatal assessments are very important to facilitate counseling and understand prognosis. In conclusion, the ex-utero intrapartum treatment procedure is a good approach to improve the survival of infants with epignathus. |
| format | Article |
| id | doaj-art-2ddc815db77a4aadbe9060389065391b |
| institution | OA Journals |
| issn | 2096-6954 2641-5895 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Maternal-Fetal Medicine |
| spelling | doaj-art-2ddc815db77a4aadbe9060389065391b2025-08-20T02:29:12ZengWolters Kluwer HealthMaternal-Fetal Medicine2096-69542641-58952023-04-015212312710.1097/FM9.0000000000000116202304000-00011Prenatal Diagnosis of a Giant Epignathus in the Second Trimester and Immediate Successful Management at Birth: A Case ReportXiaoyu Hu0Yijing Chu1Yunqing Chen2Min Zhao3Xiaofei Wang4Lin Xu5Dandan Shi1 Department of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China1 Department of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China2 Department of Pathology, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China.1 Department of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China1 Department of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, China1 Department of Obstetrics, The Affiliated Hospital of Qingdao University, Qingdao, Shandong 266000, ChinaAbstract. Epignathus is an extremely rare congenital oropharyngeal teratoma. Here, we report a case of epignathus without intracranial extension in a fetus. The mass was first found by ultrasonography at 22 gestational weeks. Serial ultrasound examinations and magnetic resonance imaging confirmed that the fetus had neither central nervous system involvement nor abnormal nose or tooth. The baby was delivered at 37 weeks and six days of gestation via cesarean section set up for ex-utero intrapartum treatment. The postnatal pathologic examination confirmed the presence of mature tissues predominantly containing ectopic central nervous tissue, osseous tissue, and bronchial mucosal tissue. Most cases of epignathus are associated with malformation and death. Ultrasound and magnetic resonance imaging prenatal assessments are very important to facilitate counseling and understand prognosis. In conclusion, the ex-utero intrapartum treatment procedure is a good approach to improve the survival of infants with epignathus.http://journals.lww.com/10.1097/FM9.0000000000000116 |
| spellingShingle | Xiaoyu Hu Yijing Chu Yunqing Chen Min Zhao Xiaofei Wang Lin Xu Dandan Shi Prenatal Diagnosis of a Giant Epignathus in the Second Trimester and Immediate Successful Management at Birth: A Case Report Maternal-Fetal Medicine |
| title | Prenatal Diagnosis of a Giant Epignathus in the Second Trimester and Immediate Successful Management at Birth: A Case Report |
| title_full | Prenatal Diagnosis of a Giant Epignathus in the Second Trimester and Immediate Successful Management at Birth: A Case Report |
| title_fullStr | Prenatal Diagnosis of a Giant Epignathus in the Second Trimester and Immediate Successful Management at Birth: A Case Report |
| title_full_unstemmed | Prenatal Diagnosis of a Giant Epignathus in the Second Trimester and Immediate Successful Management at Birth: A Case Report |
| title_short | Prenatal Diagnosis of a Giant Epignathus in the Second Trimester and Immediate Successful Management at Birth: A Case Report |
| title_sort | prenatal diagnosis of a giant epignathus in the second trimester and immediate successful management at birth a case report |
| url | http://journals.lww.com/10.1097/FM9.0000000000000116 |
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