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Intrapericardial Teratoma: A New and Treatable Cause of Hydrops Fetalis

Intrapericardial Teratoma: A New and Treatable Cause of Hydrops Fetalis Abstract Nonimmune hydrops fetalis, characterized by the accumulation of interstitial water (anasarca) in the absence of isoimmunization, has been associated with at least 38 different pathologic entities, accounting in 1970 for approximately 20% of reported hydropic infants.1-3 Surprisingly, the association of hydrops and congenital heart disease is an uncommon observation,1 but has been reported sporadically in patients with premature closure of either the patent foramen ovale or ductus arteriosus, Ebstein's anomaly of the tricuspid valve, severe pulmonary insufficiency, both right and left ventricular endocardial fibroelastosis, myocarditis, cerebral, pulmonary, and abdominal arteriovenous fistulae, hypoplastic left heart syndrome, and cardiac arrhythmias.1 Interestingly, intrapericardial teratomas have been associated with pericardial effusion,4-8 usually with cardiac tamponade in infants,4,5,8 but not with hydrops. This report presents the clinical features of a newborn with an intrapericardial teratoma and hydrops fetalis, and discusses the incidence, diagnosis, and management. Report of a Case.—The References 1. Etches PC, Lemons JA: Nonimmune hydrops fetalis: Report of 22 cases including three siblings . Pediatrics 1979;64:326-332. 2. Beischer NA, Fortune DW, Macafee J: Nonimmunologic hydrops fetalis and congenital abnormalities . Obstet Gynecol 1971;38:86-95. 3. Bose C: Hydrops fetalis and in utero intracranial hemorrhage . J Pediatr 1978;93:1023-1024.Crossref 4. Reynolds JL, Donahue JK, Pearce CW: Intrapericardial teratoma: A cause of acute pericardial effusion in infancy . Pediatrics 1969;43:71-78. 5. Lintermans JF, Schoevaertds JC, Fiassel L, et al: Intrapericardial teratoma: A curable cause for cardiac tamponade in infancy . Clin Pediatr 1973;12:316-318.Crossref 6. Farooki ZA, Hakima ML, Arciniegas E, et al: Echocardiographic features in a case of intrapericardial teratoma . J Clin Ultrasound 1978;6:108-110.Crossref 7. Lubin BH, Friedman S, Miller WW: Intrapericardial teratoma associated with pericardial effusion . J Pediatr Surg 1967;2:336-342.Crossref 8. Chalnot P, Pernot C, Frisch R, et al: Intrapericardial teratoma in young infants apropros two cases . Ann Surg Thorac Cardiovasc 1968;7:515-521. 9. White JJ, Kabach MN, Haller JA: Diagnosis and excision of intrapericardial teratoma in an infant . J Thorac Cardiovasc Surg 1968;55:704-710. 10. Monterio DC: Teratoma of the pericardium in newborn infants: Report of case and literature review . Rev Hosp Clin Fac Med Sao Paulo 1968;23:50-56. 11. Zaorski JR, Evangelist FA, Sakibara S, et al: Intrapericardial teratoma: A case report . Milit Med 1971;136:582-583. 12. Kulkani MG: Intrapericardial teratoma . Ann Thorac Surg 1969;7:30-33.Crossref 13. Deenadayala RP, Tuiri D, Dewall RA, et al: Intrapericardial teratoma and bronchogenic cyst: Review of literature and report of successful surgery in infants with intrapericardial teratoma . J Thorac Cardiovasc Surg 1974;67:945-952. 14. Bower RJ, Kiesewetter WB: Mediastinal masses in infants and children . Arch Surg 1977;112:1003-1009.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1980.02130240054017
Publisher site
See Article on Publisher Site

Abstract

Abstract Nonimmune hydrops fetalis, characterized by the accumulation of interstitial water (anasarca) in the absence of isoimmunization, has been associated with at least 38 different pathologic entities, accounting in 1970 for approximately 20% of reported hydropic infants.1-3 Surprisingly, the association of hydrops and congenital heart disease is an uncommon observation,1 but has been reported sporadically in patients with premature closure of either the patent foramen ovale or ductus arteriosus, Ebstein's anomaly of the tricuspid valve, severe pulmonary insufficiency, both right and left ventricular endocardial fibroelastosis, myocarditis, cerebral, pulmonary, and abdominal arteriovenous fistulae, hypoplastic left heart syndrome, and cardiac arrhythmias.1 Interestingly, intrapericardial teratomas have been associated with pericardial effusion,4-8 usually with cardiac tamponade in infants,4,5,8 but not with hydrops. This report presents the clinical features of a newborn with an intrapericardial teratoma and hydrops fetalis, and discusses the incidence, diagnosis, and management. Report of a Case.—The References 1. Etches PC, Lemons JA: Nonimmune hydrops fetalis: Report of 22 cases including three siblings . Pediatrics 1979;64:326-332. 2. Beischer NA, Fortune DW, Macafee J: Nonimmunologic hydrops fetalis and congenital abnormalities . Obstet Gynecol 1971;38:86-95. 3. Bose C: Hydrops fetalis and in utero intracranial hemorrhage . J Pediatr 1978;93:1023-1024.Crossref 4. Reynolds JL, Donahue JK, Pearce CW: Intrapericardial teratoma: A cause of acute pericardial effusion in infancy . Pediatrics 1969;43:71-78. 5. Lintermans JF, Schoevaertds JC, Fiassel L, et al: Intrapericardial teratoma: A curable cause for cardiac tamponade in infancy . Clin Pediatr 1973;12:316-318.Crossref 6. Farooki ZA, Hakima ML, Arciniegas E, et al: Echocardiographic features in a case of intrapericardial teratoma . J Clin Ultrasound 1978;6:108-110.Crossref 7. Lubin BH, Friedman S, Miller WW: Intrapericardial teratoma associated with pericardial effusion . J Pediatr Surg 1967;2:336-342.Crossref 8. Chalnot P, Pernot C, Frisch R, et al: Intrapericardial teratoma in young infants apropros two cases . Ann Surg Thorac Cardiovasc 1968;7:515-521. 9. White JJ, Kabach MN, Haller JA: Diagnosis and excision of intrapericardial teratoma in an infant . J Thorac Cardiovasc Surg 1968;55:704-710. 10. Monterio DC: Teratoma of the pericardium in newborn infants: Report of case and literature review . Rev Hosp Clin Fac Med Sao Paulo 1968;23:50-56. 11. Zaorski JR, Evangelist FA, Sakibara S, et al: Intrapericardial teratoma: A case report . Milit Med 1971;136:582-583. 12. Kulkani MG: Intrapericardial teratoma . Ann Thorac Surg 1969;7:30-33.Crossref 13. Deenadayala RP, Tuiri D, Dewall RA, et al: Intrapericardial teratoma and bronchogenic cyst: Review of literature and report of successful surgery in infants with intrapericardial teratoma . J Thorac Cardiovasc Surg 1974;67:945-952. 14. Bower RJ, Kiesewetter WB: Mediastinal masses in infants and children . Arch Surg 1977;112:1003-1009.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Dec 1, 1980

References