Fetal mediastinal teratoma: Misinterpretation as congenital cystic lesions of the lung on prenatal ultrasound
| Autor: | Houda Bellamine, Sihem Darouich |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Fetus Lung business.industry Ultrasound Prenatal diagnosis Autopsy 030204 cardiovascular system & hematology medicine.disease 030218 nuclear medicine & medical imaging 03 medical and health sciences Pulmonary hypoplasia 0302 clinical medicine medicine.anatomical_structure Hydrops fetalis Medicine Radiology Nuclear Medicine and imaging Immature teratoma Radiology business |
| Zdroj: | Journal of Clinical Ultrasound. 48:287-290 |
| ISSN: | 1097-0096 0091-2751 |
| DOI: | 10.1002/jcu.22808 |
| Popis: | Congenital mediastinal teratoma can lead to development of hydrops fetalis and may be misinterpreted on ultrasound. In this case report, ultrasound revealed severe fetoplacental hydrops, moderate posthemorrhagic hydrocephalus, and multiple pulmonary cysts suggesting cystic adenomatoid malformation and displacement of the heart to the left side. Autopsy of the hydropic 24-weeks male fetus showed a large cystic-solid mediastinal mass that was consistent with nonmetastatic immature teratoma. It also demonstrated thymic, cardiac and pulmonary hypoplasia, and confirmed the germinal matrix-intraventricular hemorrhage. Accurate prenatal diagnosis of mediastinal teratoma may be achieved by a careful Doppler ultrasound assessment that also allows evaluating the fetal outcome. |
| Databáze: | OpenAIRE |
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