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  Vol. 155 No. 11, November 2001 TABLE OF CONTENTS
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Picture of the Month

Ala Stanford, MD; Jeffrey S. Upperman, MD; Edward M. Barksdale, Jr, MD
From the Department of Pediatric Surgery, Children's Hospital of Pittsburgh, Pittsburgh, Pa.

Arch Pediatr Adolesc Med. 2001;155:1271-1272.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

AN ANTENATAL ultrasound examination of a 39-year-old woman with a pregnancy of 21 weeks' gestation demonstrated a large, complex, multicystic cervical mass measuring 10 x 12 cm on the fetus. The neck mass was felt to be compressing the upper airway and, potentially, the esophagus. The prenatal course was complicated by maternal polyhydramnios. The infant was delivered at term via an EXIT (ex utero intrapartum treatment) procedure. At delivery, a huge mass was noted surrounding the infant's neck (Figure 1). The infant was immediately intubated.


Figure 1.

The mass was excised on the third day of life (Figure 2).


Figure 2.


Denouement and Discussion: Cervical Hygroma and Ex Utero Intrapartum Treatment (EXIT)

Figure 1. A huge cystic hygroma distorts the entire anterior cervical area.

Figure 2. Appearance of the infant following neck mass resection and tracheostomy.

Cystic hygroma is one of the most . . . [Full Text of this Article]







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