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Updated: Jul 20, 2026

Removal of an Intravesical Gellhorn Pessary and Staged Repair of a Residual Large Vesico-Vaginal Fistula
Published on: April 14, 2026
Ex utero intrapartum treatment (EXIT) for congenital giant ranula
Dorothy F Y Chan1, Cheuk H Lee, Tak Y Fung
1Department of Paediatrics, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong.
Unlabelled:
Congenital giant ranula causing life-threatening upper airway obstruction is a rare condition. A well-planned ex utero intrapartum treatment (EXIT) procedure for aspiration and decompression of the cystic lesion is simple, efficacious and effective in securing a patent airway before the fetus is completely delivered, and may prevent lifelong neurodevelopmental complications associated with perinatal asphyxia in such cases.
Conclusion:
EXIT could be a life-saving procedure for congenital giant ranula.