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Images in neonatal medicine
Bilateral chest wall mesenchymal hamartomas masquerading as fetal hydrops in utero
  1. Christopher Michael Faraday1,
  2. Clifford B D Mayes2,
  3. Daniel Hurrell3,
  4. Bharathi Rao4
  1. 1Neonatal Intensive Care Unit, Royal Jubilee Maternity Hospital, Belfast, UK
  2. 2Neonatal Intensive Care Unit, Belfast HSC Trust, Belfast, UK
  3. 3Pathology Department, Alder Hey Children's Hospital, Liverpool, Merseyside, UK
  4. 4Neonatal Intensive Care Unit, Royal Jubilee Maternity Service, Belfast, Belfast, UK
  1. Correspondence to Dr Christopher Michael Faraday, Royal Jubilee Maternity Service, Belfast BT12 6BA, UK; c.faraday{at}yahoo.co.uk

https://doi.org/10.1136/archdischild-2019-318649

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    A female infant born by spontaneous vaginal delivery at 35 weeks of gestation with expected fetal hydrops, due to presumed pleural effusions on antenatal ultrasound, presented with difficult and prolonged resuscitation. The neonatal team attended delivery due to the presumed hydrops, and the infant required immediate intubation as attempts were made to aspirate intrapleural fluid, though these were unsuccessful. On arrival to the neonatal unit at approximately 40 min of life, her pH was 6.87, …

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    Footnotes

    • Contributors CMF reviewed the case notes and the literature and wrote the manuscript. DH performed and reported on the postmortem findings. CBDM was the lead consultant dealing with patient care and sought written consent from parents. BR supervised and proofread the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Parental/guardian consent obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.