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BMJ Case Reports 2017; doi:10.1136/bcr-2016-217940
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Antenatal thoracoamniotic shunting in congenital cystic adenomatoid malformation

  1. Kristin Tanney1
  1. 1Neonatal Intensive Care Unit, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  2. 2Fetal Medicine Unit, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  1. Correspondence to Dr Terry Cullen, tdcullen{at}hotmail.co.uk
  • Accepted 2 June 2017
  • Published 23 June 2017

Description

This case report describes a baby who was diagnosed antenatally with a significant left-sided congenital cystic adenomatoid malformation.

Following diagnosis of a fluid-filled, macrocystic structure on the left side of the chest, the mother was referred at 27 weeks’ gestation to her regional fetal medicine unit for assessment and ongoing management. Fetal MRI demonstrated a cyst measuring 6.7 mm × 4.3 mm, associated with mediastinal shift and affecting cardiac contractility. Scalp …

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