PMC9666771_01
Magnetic resonance imaging was performed at 27 weeks. There was no evidence of possible invasion to the foetal pelvis or abdomen. The intact spine, foetal kidneys, and bladder were normal. A diagnosis of type I in the Altman classification was confirmed. Ax DWI b = 600.
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Magnetic resonance imaging was performed at 27 weeks ( Figure 1 ).
(A) The simple homemade balloon. (B) Once the foetal head and neck were exposed, the uterine cavity was filled with a homemade balloon continuously infused with warm physiological saline solution. (C) The newborn in posterior view with the presence of the sacrococcygeal mass during the EXIT. (D) The placental circulation was maintained for a total of 32 min until the intact teratoma was excised without rupture. The umbilical cord was cut immediately upon completion of the tumor debulking procedure.
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Once the foetal head and neck were exposed, the uterine cavity was filled continuously with warm physiological saline solution to maintain an adequate uterine volume to avoid placental abruption and compression of the umbilical cord ( Figures 2A, B ). Amniotic fluid was slowly released, and the foetus was slowly delivered ( Figure 2C ). Figure 2D ). Foetal health signs were stable through SpO2 monitoring and foetal ultrasonography during the entire operation.