A Case of Fetal Congenital Mesoblastic Nephroma with Oligohydramnios.
10.3346/jkms.2007.22.2.357
- Author:
Cheol Hong KIM
1
;
Yoon Ha KIM
;
Moon Kyoung CHO
;
Ki Min KIM
;
Jin A HA
;
Eun Hyun JOO
;
Seok Mo KIM
;
Tae Bok SONG
Author Information
1. Department of Obstetrics and Gynecology, Chonnam National University, College of Medicine, 8 Hak-dong, Dong-gu, Gwangju, Korea. kimyh@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Oligohydramnios;
Congenital Mesoblastic Nephroma;
Renal Failure
- MeSH:
Pregnancy;
Oligohydramnios/*diagnosis/therapy;
Nephroma, Mesoblastic/*diagnosis/therapy;
Kidney Neoplasms/*diagnosis/therapy;
Infant, Newborn;
Humans;
Fetal Diseases/etiology/prevention & control;
Female;
Fatal Outcome;
Cesarean Section;
Adult
- From:Journal of Korean Medical Science
2007;22(2):357-361
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although congenital renal tumors are rare, congenital mesoblastic nephroma (CMN) is the most common renal tumor in early infancy. It is non-metastatic, well differentiated, amenable to surgical removal, and carries a good prognosis. Polyhydramnios has been detected in most of the published cases of CMN. However, we experienced a rare case of fetal CMN associated with oligohydramnios. A 28-yr old woman at 34 weeks of gestation was referred to our hospital for oligohydramnios and a fetal abdominal mass. An ultrasonography revealed a huge, well-encapsulated mass arising from the right kidney. An emergency cesarean section was performed due to fetal distress. After birth, despite intensive neonatal care, the baby died because of renal failure, disseminated intravascular coagulopathy, pulmonary edema, together with other problems.
