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Ex-utero Intrapartum Treatment (EXIT) Procedure for Giant Fetal Epignathus
Pooja Agarwal Jayagobi1, Suresh Chandran, Bhavani Sriram
1Departments of Neonatology and *Pathology AND Laboratory Medicine, Kandang Kerbau Women and Childrens Hospital, Singapore. Correspondence to: Dr Pooja Agarwal Jayagobi, Associate Consultant, Department of Neonatology, Kandang Kerbau WomenS and ChildrenSHospital, 100 Bukit Timah Road, Singapore 229899. Pooja.Agarwal@kkh.com.sg.
Background:
Large fetal oropharyngeal tumors are rare, and have the potential to cause airway obstruction during birth.
Case Characteristics:
A 35-year-old woman with antenatally diagnosed large heterogenous mass in fetal neck displacing trachea and filling up the orophanygeal space.
Intervention:
The infant was delivered at 31 weeks of gestation by ex-utero intrapartum therapy procedure to secure the airway.
Outcome:
Tumor was resected successfully on day 8 of life. Histopathology revealed mixed teratoma.
Message:
Ex-utero intrapartum therapy for fetuses with severe upper airway compromise may prove life-saving.
