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KMID : 0191120070220020357
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Journal of Korean Medical Science
2007 Volume.22 No. 2 p.357 ~ p.361
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A Case of Fetal Congenital Mesoblastic Nephroma with Oligohydramnios
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Kim Cheol-Hong
Kim Yoon-Ha
Cho Moon-Kyoung
Kim Ki-Min
Ha Jin-A
Joo Eun-Hyun
Kim Seok-Mo
Song Tae-Bok
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Abstract
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Although congenital renal tumors are rare, congenital mesoblastic nephroma (CMN) is the most common renal tumor in early infancy. It is non-metastatic, well differentiated, amenable to surgical removal, and carries a good prognosis. Polyhydramnios has been detected in most of the published cases of CMN. However, we experienced a rare case of fetal CMN associated with oligohydramnios. A 28-yr old woman at 34 weeks of gestation was referred to our hospital for oligohydramnios and a fetal abdominal mass. An ultrasonography revealed a huge, well-encapsulated mass arising from the right kidney. An emergency cesarean section was performed due to fetal distress. After birth, despite intensive neonatal care, the baby died because of renal failure, disseminated intravascular coagulopathy, pulmonary edema, together with other problems.
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KEYWORD
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Oligohydramnios, Congenital Mesoblastic Nephroma, Renal Failure
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