20.500.12556/DiRROS-18666 Mediastinal teratoma with hydrops fetalis in a newborn and development of chronic respiratory insufficiency Background. Mediastinal fetal teratoma can be detected as a mass in the chest during a routine prenatal ultrasound screening. Because of the pressure on mediastinal structures it can be the cause of non-immune hydrops fetalis and polyhydramnion. The development of hydrops fetalis leads to fetal death or premature delivery in most reported cases. Early surgical removal is important, but, the result of treatment depends on the stage of development of mediastinal organs and complications in the postoperative period. Case report. A 31-year-old gravida carrying twins, with spontaneous membrane rupture at 32 weeks gestation underwent urgent caesarean section after antenatal ultrasound revealed severe polyhydramnion and hydrops fetalis in geminus A. The child was intubated immediately after birth due to severe respiratory distress. Ultrasound and X-ray revealed a tumour mass in the right hemithorax. Tumour resection was performed at the age of 7 days. Histology examination revealed an encapsulated immature teratoma. The postoperative course was complicated with respiratory insufficiency which turned into chronic at the age of eight months. Conclusion. This is the fifth reported child with fetal mediastinal teratoma and severe hydrops fetalis that survived the neonatal period. Additional diagnostic search revealed abnormal course of both pulmonary arteries, which was probably one of the main causes of respiratory insufficiency. mediastinal teratoma non-immune hydrops fetalis diaphragm paralysis chronic respiratory insufficiency novorojenčki mediastinalni teratom kronična respiratorna insuficienca true false true Association of Radiology and Oncology Ljubljana Angleški jezik Slovenski jezik by Authors Neznano 2024-04-11 12:37:55 2024-04-11 12:37:55 2024-04-12 03:37:21 0000-00-00 00:00:00 2014 0 0 str. 397-402, VI no. 4 Vol. 48 Dec. 2014 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2014-12-01 616-053.2 1318-2099 1829548 http://www.degruyter.com/view/j/raon.2014.48.issue-4/raon-2013-0080/raon-2013-0080.xml?format=INT 1 cb659123-f7de-11ee-ae20-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=25499 RAZ_Simoncic_Milanka_2014.pdf RAZ_Simoncic_Milanka_2014.pdf 1 ECAE0D18CA4A29F781D7658124746939 8fc99baa73650b2f7dcee565db447f35e45c07272b3dec705a78c293955308f0 f9a44792-f7de-11ee-ae20-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=25500 Onkološki inštitut Ljubljana 0 0 0