Intrapericardial teratomas are rare fetal tumors where management is often guided by sequelae such as pericardial effusion and hydrops.
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Informs individualized care for rare fetal intrapericardial teratoma; leaves optimal strategies open pending larger series.
Intrapericardial teratomas are rare but potentially fatal. With prenatal ultrasound, early diagnosis and decision for treatment can be accomplished. However, the decision becomes to treat prenatally vs. waiting until the neonatal period for definitive surgical management. The most common sequelae of intrapericardial teratomas are pericardial effusion and often progression to hydrops. It is these sequelae that tend to guide management. Presented here is a case report of the diagnosis and management of a twin fetus with an intrapericardial teratoma, as well as a review of the literature.
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Fagiana et al. (2010) studied this question.
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