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Vol. 54. Issue 4.
Pages 305-308 (April 2003)
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Vol. 54. Issue 4.
Pages 305-308 (April 2003)
Epignatus. a propósito de un caso y revisión de la literatura
Epignathus. A case report and review of the literature
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V. Pino Rivero1, T. Mogollón Cano-cortés, J.M. Pando Pinto, E. Rejas Ugena, A. Blasco Huelva
Servicio de o.r.l. Hospital infanta cristina. Badajoz
Article information
Resumen

Epignatus es una forma infrecuente de teratoma orofaríngeo que se asocia a una alta mortalidad durante el período neonatal. Presentamos el caso clínico de un recién nacido con cesárea a las 35 semanas, Apgar 2-4 y depresión neurológica e hipotonía generalizada. El diagnóstico prenatal se realizó por ecografía; el diámetro de la masa sólida era de 5 cm con densidad calcio en su interior. Se procedió a traqueotomía urgente por imposibilidad de intubación orotraqueal y, posteriormente, a exéresis de la masa que se encontraba implantada en el paladar duro. El paciente falleció 3 semanas después por parada cardiorrespiratoria. Realizamos una revisión de la literatura al respecto de esta patolog í a.

Palabras clave:
Epignatus
Teratoma
Abstract

Epignathus is an uncommon form of oropharyngeal teratoma that is associated with a high mortality during the neonatal period. We report the clinical case of a neonate borned through cesarea in week 35, Apgar 2-4, neurologic breakdown and widespread hypotonia. The prenatal diagnosis was performed by ultrasonography; the diameter of the solid mass was 5 cm with inner calcium density. An urgent tracheostomy was carried out as it was not possible to get orotracheal intubation (IOT) and, later, we proceeded to remove the mass which was embedded in the hard palate. Our patient died three weeks later due to respiratory and heart failure. We carry out a review of the literature for this pathology.

Key words:
Epignathus
Teratoma

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