Epignathus: A Case Report in Sirindhorn Hospital

Abstract

Epignathus: A Case Report in Sirindhorn Hospital

Wiwat Iamurairat MD

Department of Obstetrics and Gynecology, Sirindhorn Hospital

Epignathus is a congenital oropharyngeal teratoma which is very rare. This report presented a case of epignathus in a fetus of a 38 years old woman at 23 weeks of gestation. The tumor was detected during an antenatal ultrasonography which revealed polyhydramnios, placenta previa totalis and a fetus with solid cystic mass sized 10 centimeters, filling the oropharyngeal cavity and protruding from the mouth. Termination of pregnancy was achieved by hysterotomy. A male fetus weighing 855 grams and 28 centimeters long was delivered. The postmortem pathologic examination confirmed the diagnosis of epignathus with midline defect over hard palate.

Key words: Epignathus, oropharyngeal teratoma, congenital teratoma

Vajira Med J 2009 ; 54 : 89 - 94