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Runggaldier D, Reinehr M, Friedrich H, Henze G, Good D, Gysin C. Case report and review of the literature: rare fetus-in-fetu presenting as oropharyngeal epignathus. Front Surg 2023; 10:1122327. [PMID: 37206355 PMCID: PMC10191252 DOI: 10.3389/fsurg.2023.1122327] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2022] [Accepted: 04/12/2023] [Indexed: 05/21/2023] Open
Abstract
An epignathus is caused by a continuous spectrum of masses of the oral cavity or oropharynx ranging in its entity from mature teratoma to the exceedingly rare fetus-in-fetu. Due to its location, regardless of the entity, the occurrence of an epignathus is frequently associated with life threatening airway obstruction. Here we demonstrate a case of a fetus-in-fetu presenting as an epignatus. We describe its successful management and review the available literature. Early diagnosis and knowledge of the preoperative workup are essential to enable a multidisciplinary management. Once the airway is secured, surgical excision is the treatment of choice often resulting in a good clinical outcome and prognosis.
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Affiliation(s)
- Daniel Runggaldier
- Division of Pediatric Otolaryngology, University Children's Hospital, Zurich, Switzerland
- Departmentof Otorhinolaryngology, Head & Neck Surgery, University Hospital Zürich, University of Zurich, Zürich, Switzerland
| | - Michael Reinehr
- Departmentof Otorhinolaryngology, Head & Neck Surgery, University Hospital Zürich, University of Zurich, Zürich, Switzerland
- Institute for Pathology and Molecular Pathology, University Hospital Zurich, Zurich, Switzerland
| | - Hergen Friedrich
- Division of Pediatric Otolaryngology, University Children's Hospital, Zurich, Switzerland
| | - Georg Henze
- Department of Anesthesia, University Children’s Hospital, Zürich, Switzerland
| | - Dominic Good
- Division of Pediatric Otolaryngology, University Children's Hospital, Zurich, Switzerland
| | - Claudine Gysin
- Division of Pediatric Otolaryngology, University Children's Hospital, Zurich, Switzerland
- Correspondence: Claudine Gysin
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Enciu M, Baltatescu GI, Cojocaru O, Burlacu I, Cristurean VC, Mocanu L, Ghitoi SA, Dinu A, Nicolau AA. Umbilical Cord Teratoma - A Short Case Report. Fetal Pediatr Pathol 2022; 42:450-455. [PMID: 36218240 DOI: 10.1080/15513815.2022.2130734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Background: Teratomas can occur in the umbilical cord, and may or may not be associated with other congenital abnormalities. Case report: This 35-year-old primigravida gave birth 37-38 weeks to a 3290-g normal female. The umbilical cord, at 10 cm from the abdominal insertion, had an 8 cm mature teratoma. Work-up revealed no other abnormalities. Discussion: Mature teratomas may occur in the umbilical cord, and may or may not have additional clinical sequalae.
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Affiliation(s)
- Manuela Enciu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Faculty of Medicine, "Ovidius" University, Constanta, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Gabriela Izabela Baltatescu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania.,Center for Research and Development for Morphologic and Genetic Studies of Malignant Pathology - CEDMOG, "Ovidius" University Constanta, Constanta, Romania
| | - Oana Cojocaru
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Faculty of Medicine, "Ovidius" University, Constanta, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Ionut Burlacu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Viorel Constantin Cristurean
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Obstetrics - Gynecology Department, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania
| | - Liliana Mocanu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania
| | - Sinziana-Andra Ghitoi
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Alexandra Dinu
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania
| | - Antonela-Anca Nicolau
- Clinical Service of Pathology, Constanta "St. Andrew" Clinical Emergency County Hospital, Constanta, Romania.,Academy of Medical Sciences, Bucharest, Romania.,Center for Research and Development for Morphologic and Genetic Studies of Malignant Pathology - CEDMOG, "Ovidius" University Constanta, Constanta, Romania
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3
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Demir BC, Topal NB, Güneş EŞ, Yazıcı Z, Yalçınkaya U. Prenatal diagnosis of fetal umbilical cord teratoma. CASE REPORTS IN PERINATAL MEDICINE 2014. [DOI: 10.1515/crpm-2013-0056] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Abstract
Umbilical cord teratomas are rare tumoral lesions of umbilical cord which have challenging antenatal diagnosis. The cord teratomas contain tissue from all three germ layers and have both cystic and solid components. This ultrasonographic appearance may help the clinician to clarify the correct diagnosis. We report a case of cord teratoma diagnosed prenatally by ultrasonography and magnetic resonance imaging. Since cord teratomas may lead to adverse fetal outcomes, close follow-up of the fetus is recommended.
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Affiliation(s)
| | - Naile Bolca Topal
- Department of Obstetrics and Gynecology, Uludag University, Bursa, Turkey
| | - Esra Şahin Güneş
- Department of Obstetrics and Gynecology, Uludag University, Bursa, Turkey
| | - Zeynep Yazıcı
- Department of Radiology, Uludag University, Bursa, Turkey
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