A Case of the EXIT (Ex Utero Intrapartum Treatment) Procedure in Congenital Fetal Cervical Immature Teratoma.
- Author:
Hyun Joo PARK
1
;
Ja Hyun LEE
;
Sung Min CHUNG
;
Han Su KIM
Author Information
1. Department of Otolaryngology, School of Medicine, Ewha Womans University, Seoul, Korea. sevent@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
Ex utero intrapartum treatment;
Fetus;
Cervical teratoma
- MeSH:
Airway Obstruction;
Anesthesia, General;
Child;
Fetus;
Germ Cells;
Humans;
Teratoma
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2008;51(7):681-685
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The exutero intrapartum treatment (EXIT) is an uncommon procedure indicated for fetal lesions with the potential to cause lifethreatening airway obstruction immediately after child delivery. Maintenance of the maternal-fetal circulation under the general anesthesia can allow time for the fetal airway to be secured before delivery. Cervical teratomas are rare congenital tumors derived from all three germ cell layers. The vast majority are histologically benign, but the significant size can potentiate life-threatening upper airway obstruction. We have recently experienced a case of the large fetal cervical teratoma diagnosed prenatally on ultrasonography and treated surgically using the EXIT procedure.