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Ex Utero Intrapartum Treatment (EXIT) for a Large Fetal Neck Mass

  • Manisha M. Beck
  • Ekta Rai
  • Reeta Vijayaselvi
  • Mary John
  • Naina Picardo
  • Sridhar Santhanam
  • Maneesh Kumar
  • Benjamin J. Ross
Case Report
  • 45 Downloads

Introduction

A 23-year-old primigravida was referred to our hospital at 36 + 5 weeks gestation with scan showing gross polyhydramnios and fetus having a large neck mass. She had no antenatal risk factors. An anomaly scan done at 22-week gestation was told to be normal.

Repeat scan done here showed gross polyhydramnios with the amniotic fluid index (AFI) being 44 cm. The fetus was growth restricted with an estimated fetal weight of 1.8 kg. There was a 8 × 6 cm left anterolateral mass on the fetal neck, which was solid, well defined with minimal vascularity (Fig.  1). There seemed to be no retrosternal extension of the mass. There was no other structural abnormality to account for the fetal growth restriction (FGR) with polyhydramnios. Her glucose tolerance test at fifth month was normal.

Notes

Compliance with Ethical Standards

Conflict of interest

Manisha Beck, Ekta Rai, Reeta Vijayaselvi, Mary John, Naina Picardo, Sridhar Santhanam, Maneesh Kumar and Bejamin Ross declare they have no conflict of interest.

Ethical Statements

All procedures performed on our patient were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendment or comparable ethical standards.

Informed Consent

Informed consent was obtained from the patient whose details are included in the case report. Additional consent was obtained for publication of scan images and the photograph of the baby.

References

  1. 1.
    Abraham RJ, Sau A, Maxwell D. A review of the EXIT (Ex utero intrapartum treatment) procedure. J Obstet Gynecol. 2010;30(1):1–5. doi: 10.3109/01443610903281656.CrossRefGoogle Scholar
  2. 2.
    Olutoye OO, Olutoye OA. EXIT procedure for fetal neck masses. Curr Opin Pediatr. 2012;24:386–93. doi: 10.1097/MOP.0b013e3283531b51.CrossRefPubMedGoogle Scholar
  3. 3.
    Lazar DA, Olutoye OO, Moise KJ Jr, et al. Ex utero intrapartum treatment procedure for giant neck masses—fetal and maternal outcomes. J Pediatr Surg. 2011;46:817–22.CrossRefPubMedGoogle Scholar
  4. 4.
    Fetal surgery for neck masses (2013). http://emedicine.medscape.com/article 2109566.
  5. 5.
    Liechty KW, Hedrick HL, Hubbard AM, et al. Severe pulmonary hypoplasia associated with giant cervical teratomas. J Pediatr Surg. 2006;41(1):230–3.CrossRefPubMedGoogle Scholar

Copyright information

© Federation of Obstetric & Gynecological Societies of India 2017

Authors and Affiliations

  • Manisha M. Beck
    • 1
  • Ekta Rai
    • 2
  • Reeta Vijayaselvi
    • 1
  • Mary John
    • 3
  • Naina Picardo
    • 3
  • Sridhar Santhanam
    • 4
  • Maneesh Kumar
    • 4
  • Benjamin J. Ross
    • 4
  1. 1.Department of Obstetrics and Gynecology, Unit 4Christian Medical CollegeVelloreIndia
  2. 2.Department of AnesthesiaChristian Medical CollegeVelloreIndia
  3. 3.Department of Paediatric OtolaryngologyChristian Medical CollegeVelloreIndia
  4. 4.Department of NeonatologyChristian Medical CollegeVelloreIndia

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