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Chest wall mesenchymal hamartoma associated with a massive fetal pleural effusion: a case report |
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| Authors: | Odaka Akio Takahashi Shigeki Tanimizu Takemaru Kawashima Hiroshi Inokuma Shigehisa Ishida Hideyuki Hoshino Takanobu Baba Kazunor Tamura Masanori Satomi Akira Hashimoto Daijo |
| Affiliation: | a Department of Surgery, Saitama Medical Center, Saitama Medical School, Saitama 350-8550, Japan b Department of Pediatric Surgery, Saitama Medical School, Saitama 350-0495, Japan c Division of Maternal and Fetal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama 350-8550, Japan d Division of Neonatal Medicine, Center for Maternal, Fetal and Neonatal Medicine, Saitama Medical Center, Saitama 350-8550, Japan |
| Abstract: | We report on an extremely rare chest wall mesenchymal hamartoma associated with a massive fetal pleural effusion. Prenatal ultrasound examination demonstrated a heterogeneous mass in the right thorax associated with a massive pleural effusion and right lung compression at 29 weeks of gestation. The patient underwent pleuroamniotic shunting at 30 weeks and was delivered at 33 weeks by cesarean delivery secondary to fetal distress. After management of the respiratory distress and evaluation of the mass, surgery was performed at day of life 8. Histological examination confirmed the diagnosis of a chest wall mesenchymal hamartoma. |
| Keywords: | Mesenchymal hamartoma Chest wall Pleural effusion Pleuroamniotic shunt Prenatal diagnosis |
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