Prenatally diagnosed fetal neck teratoma - Case report and novel management options

A case of fetal neck teratoma diagnosed at 32 weeks' gestation is reported. Planning before delivery included consultations with the neonatologist, th e anesthesiologist, the otolaryngologist and the social worker. Delivery by cesarean section under epidural anesthesia was carried out at 34 weeks bec ause of preterm labor. The head was delivered and the fetus was intubated w ithin 4 1/2 min using a rigid bronchoscope. Magnesium sulfate and nitroglyc erin provided uterine relaxation allowing fetal oxygenation via the uteropl acental circulation. Umbilical artery blood gases were satisfactory. The ea rly neonatal course was complicated by hemorrhage from the teratoma externa lly as well as intratracheal bleeding and ventilatory problems. The baby di ed at 40 min of age in his mother's arms.