Management of a fetal intrapericardial teratoma: a case report and review of the literature.
Intrapericardial teratomas are rare but potentially fatal. With prenatal ultrasound, early diagnosis and decision for treatment can be accomplished. However, the decision becomes to treat prenatally vs. waiting until the neonatal period for definitive surgical management. The most common sequelae of intrapericardial teratomas are pericardial effusion and often progression to hydrops. It is these sequelae that tend to guide management. Presented here is a case report of the diagnosis and management of a twin fetus with an intrapericardial teratoma, as well as a review of the literature.
Department of Pediatrics, Wilford Hall Medical Center, Lackland AFB, TX 78236, USA. angela.fagiana@lackland.af.mil
Angela M
AM
Fagiana
Shari
S
Barnett
V Sreenath
VS
Reddy
Kirk A
KA
Milhoan
D000328:Adult; D006348:Cardiac Surgical Procedures; D002585:Cesarean Section; D004200:Diseases in Twins / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005318:Fetal Heart / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005865:Gestational Age; D006338:Heart Neoplasms / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D015160:Hydrops Fetalis / Q000209:etiology; D007231:Infant, Newborn; D050498:Live Birth; D008279:Magnetic Resonance Imaging; D008297:Male; D010348:Patient Care Team; D010490:Pericardial Effusion / Q000151:congenital; D010496:Pericardium / Q000000981:diagnostic imaging / Q000196:embryology / Q000601:surgery*; D011247:Pregnancy; D013724:Teratoma / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome; D014427:Twins; D016216:Ultrasonography, Prenatal