Journal of

Case Reports and Images in Dentistry

 
     
Case Report
 
Management of congenital epulis causing feeding difficulties in an in vitro fertilized neonate: A case report
Abhishek Kumar1, Sneha Shrestha2, Vinay Marla3
1MDS, Assistant Professor, Department of Pedodontics and Preventive Dentistry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
2MDS, Assistant Professor, Department of Pedodontics and Preventive Dentistry, B.P. Koirala Institute of Health Sciences, Dharan, Nepal
3MDS, Assistant Professor, Department of Oral Pathology, B.P. Koirala Institute of Health Sciences, Dharan, Nepal

Article ID: 100017Z07SO2017
doi:10.5348/Z07-2017-17-CR-3

Address correspondence to:
Dr. Vinay Marla
Department of Oral Pathology, Dhulikhel Hospital – Kathmandu University Hospital
Dhulikhel, Kavrepalanchowk
Nepal

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How to cite this article:
Kumar A, Shrestha S, Marla V. Management of congenital epulis causing feeding difficulties in an in vitro fertilized neonate: A case report. J Case Rep Images Dent 2017;3:11–14.


ABSTRACT
Introduction: Congenital epulis or congenital granular cell tumor is a rare benign tumor of the oral cavity presenting at birth in neonates. A slightly increased risk for congenital malformations after in vitro fertilization (IVF) persists. This condition may interfere with respiration, feeding or adequate closure of the mouth. A decisive diagnosis is made by histopathological analysis. The exact histogenesis of this lesion is still uncertain. The recommended treatment for tumor is surgical resection with no recurrences or damage to the developing dentition being reported. However, some cases have reported spontaneous regression of this tumor.
Case Report: This is a case report of a 15-day-old pre-term female neonate who was in vitro fertilized and presented with a single exophytic lesion in the maxillary alveolar ridge with bleeding during feeding. The lesion was excised under local anaesthesia and confirmed by histopathological analysis as congenital epulis. The postoperative course was uneventful. Follow-up for seven months did not show recurrence.
Conclusion: This is a rare case of congenital epulis in an IVF neonate. Recognition of this entity and prompt treatment is essential for preventing any difficulties for the neonate.

Keywords: Granular cell tumor, Congenital, Infant, In vitro fertilization, Newborn complications


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Author Contributions
Abhishek Kumar – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sneha Shrestha – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Vinay Marla – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2017 Abhishek Kumar et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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