Congenital infantile myofibroma causing intrauterine death in a twin.
While infantile myofibromatosis is the most common mesenchymal tumour of infancy, only around 300 cases have been reported. The authors report a 33-year-old para 1 with an uncomplicated, dichorionic diamniotic twin pregnancy who was diagnosed with an intrauterine death of one twin at 36+5 weeks gestation. At caesarean section, a macerated male stillborn weighing 2.72 kg was delivered. Postmortem examination revealed a pedunculated lesion attached to the left shoulder and underlying muscle consistent with a congenital myofibroma. The cause of death was postulated to be haemorrhage from the tumour surface causing fetal anaemia.
Department of Obstetrics and Gynaecology, Stoke Mandeville Hospital, Aylesbury, UK. christina.aye@gmail.com
Christina Yi Ling
CY
Aye
Steve
S
Gould
S Adeyemi
SA
Akinsola
D000328:Adult; D002585:Cesarean Section; D005260:Female; D005313:Fetal Death / Q000209:etiology*; D005315:Fetal Diseases / Q000473:pathology*; D006801:Humans; D008297:Male; D019042:Muscle Neoplasms / Q000150:complications* / Q000473:pathology; D018224:Myofibromatosis / Q000150:complications / Q000151:congenital* / Q000473:pathology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology*; D059285:Pregnancy, Twin; D050497:Stillbirth