Epignatus of a newborn: postmortem ct and mri imaging for autopsy

Tumanova U.N., Lyapin V.M., Shchegolev A.I., Bychenko V.G., Kozlova A.V., Khodzhaeva Z.S.

urpose. The data of the literature are analyzed and the own observation of a newborn girl with epignatus (a nasopharynx teratoma) is given. Epignatus is a very rare, but formidable tumor of the fetus, which can be complicated by the development of polyhydramnios and premature births, as well as the cause of perinatal death. The only radical method of treatment is resection of the tumor, including in the complex of extrauterine intrapartum treatment (EXIT). In the case of stillbirth or the death of a newborn, verification of the type of teratoma is performed during histological examination. In the presented observation, the mature teratoma was diag-nosed microscopically. It is covered with multi-layered flat keratinized epithelium with under-lying hair follicles and sebaceous glands. The tissue is represented by the elements dense and loose fibrous connective tissues, fat and muscle tissue, salivary glands, cartilage, neuroglia, choroid plexuses. Performing postmortem CT and MRI studies allowed to establish the source of growth and features of the tumor structure.

V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology. Moscow, Russia.

 

 

 

 

 

Keywords:epignatus, teratoma, fetus, newborn, postmortem MRI, postmortem CT.

 

Corresponding author:Tumanova U.N., e-mail: Этот e-mail адрес защищен от спам-ботов, для его просмотра у Вас должен быть включен Javascript

 

For citation: Tumanova U.N., Lyapin V.M., Shchegolev A.I., Bychenko V.G., Kozlova A.V., Khodzhaeva Z.S. Epignatus of a newborn: postmortem ct and mri imaging for autopsy. REJR 2017; 7 (4): 90-107. DOI:10.21569/2222-7415-2017-7-4-90-107.

Received: 09.11.2017 Accepted: 23.11.2017