Foetal abdominal tumour – multidisciplinary challenge beginning from the perinatal period

Abstract: With the development of ultrasound techniques and introduction of routine antenatal examinations, detectability of foetal abdominal masses has increased. It occurs during routine anatomical examination at 18-20 weeks of gestation. A 29-year- old patient at 37th gestational week was admitted to the tertiary referral hospital due to weaker foetal movements. She had an eventful perinatal history – her first pregnancy was lost at 35th gestational week because of true umbilical cord knot. During current pregnancy, a foetal abdominal mass was detected in the ultrasound examination. MRI confirmed its cystic nature. The condition of the foetus was monitored with CTG non-stress test. Foetal movements were normal, with no uterine contractile activity. Because of positive oxytocin test result and the poor perinatal history, the patient was qualified to Caesarean section. At 38th week of gestation, a boy – 3200 g, 56 cm – was born, with 8-8-9-10 pts in the Apgar scale. The neonatal ultrasound examination visualized a 21.5x24x29 mm tumour between the left adrenal gland, spleen and pancreatic tail. On the 4th day, the newborn was transferred to the Paediatric Surgery Clinic. There, after the CT scan, an operation was planned for the next month. Unfortunately, the patient’s further history remains unknown. Regular ultrasound diagnostic procedures are essential when foetal tumours are suspected in order to monitor their size and character, and thereby diagnosis and prognosis can be dynamic. To work on an appropriate treatment plan, a cooperation between various centres and physicians of various specialties is vital.

Authors:
Maciej Zabielski, Agata Golik, Joanna Kacperczyk-Bartnik, Pawel Bartnik, Agnieszka Dobrowolska-Redo, Ewa Romejko-Wolniewicz

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