A case of fetal congenital mesoblastic nephroma with oligohydramnios.
Although congenital renal tumors are rare, congenital mesoblastic nephroma (CMN) is the most common renal tumor in early infancy. It is non-metastatic, well differentiated, amenable to surgical removal, and carries a good prognosis. Polyhydramnios has been detected in most of the published cases of CMN. However, we experienced a rare case of fetal CMN associated with oligohydramnios. A 28-yr old woman at 34 weeks of gestation was referred to our hospital for oligohydramnios and a fetal abdominal mass. An ultrasonography revealed a huge, well-encapsulated mass arising from the right kidney. An emergency cesarean section was performed due to fetal distress. After birth, despite intensive neonatal care, the baby died because of renal failure, disseminated intravascular coagulopathy, pulmonary edema, together with other problems.
Kim
Cheol Hong
CH
Department of Obstetrics and Gynecology, Chonnam National University, College of Medicine, 8 Hak-dong, Dong-gu, Gwangju, Korea.
Kim
Yoon Ha
YH
Cho
Moon Kyoung
MK
Kim
Ki Min
KM
Ha
Jin A
JA
Joo
Eun Hyun
EH
Kim
Seok Mo
SM
Song
Tae-Bok
TB
D000328:Adult; D002585:Cesarean Section; D017809:Fatal Outcome; D005260:Female; D005315:Fetal Diseases / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D007231:Infant, Newborn; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000628:therapy; D018201:Nephroma, Mesoblastic / Q000175:diagnosis* / Q000628:therapy; D016104:Oligohydramnios / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy