Year: 2025
Type: article
Study design: Case Report
Abstract: The Ex utero Intrapartum Treatment (EXIT) is a complex perinatal intervention designed to secure the fetal airway while maintaining uteroplacental circulation during delivery. We report on the first application of this procedure in West Africa, describing our obstetric and resource-constrained challenges in the management of a fetus with a large cervical cystic hygroma, and highlighting the complexities of EXIT outcomes. A report on the management of a large fetal anterior neck swelling with anticipated airway obstruction, presenting at 38 weeks 4 days has been presented. Through a multidisciplinary team collaboration, a clear working protocol and simulations, the first-ever EXIT procedure in our subregion was performed, although an adverse neonatal outcome was encountered. The outcomes of EXIT procedures are unpredictable; hence, adequate counseling is required to embrace the outcome.
Source: Clinical Case Reports
DOI: 10.1002/ccr3.71397
Authors: Betty Anane‐Fenin, Oluwayemisi Esther Ekor, Teresa Mensah, Victor Etwire, Joyce Ashong, Kenneth Kojo Baidoo, Grace N. A. Amoo‐Quaye, Joycelyn Akuorkor Ashong, Kofi Ulzen‐Appiah, Peter Appiah‐Thompson, Elizabeth Mercy Quartson, Hilda Danquah Konadu, Francis Koranteng, Vincent Kwesi Nuatror Nuavin‐Aseye, Isaac Kwakye, Nana Andoh Hanson, Nicholas Kumi
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,820
OpenAlex ID: W4416339263