Donald School Journal of Ultrasound in Obstetrics and Gynecology

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VOLUME 12 , ISSUE 2 ( April-June, 2018 ) > List of Articles

CASE REPORT

Successful Management of Fetal Hydrothorax associated with Hydrops

Erasmo Huertas, Adelita Híjar, Igor Huerta, José C Elias, Armando Florez, Luis M Gomez

Keywords : Fetal hydrothorax, Hydrops, Pleural effusion, Prenatal treatment, Thoracoamniotic shunt

Citation Information : Huertas E, Híjar A, Huerta I, Elias JC, Florez A, Gomez LM. Successful Management of Fetal Hydrothorax associated with Hydrops. Donald School J Ultrasound Obstet Gynecol 2018; 12 (2):145-147.

DOI: 10.5005/jp-journals-10009-1564

License: CC BY-NC 4.0

Published Online: 01-04-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

We report a case of massive unilateral hydrothorax diagnosed at 18 weeks’ gestation in a fetus with normal karyotype. The fetus was affected severely by hydrops from 22 weeks. Initially, we performed a pleurodesis, but due to worsening hydrothorax evolving into hydrops, we proceeded with insertion of a transplacental thoracoamniotic shunt. Improvement was evident from 1 week after the procedure followed by resolution of hydrothorax for the remainder of the pregnancy. After a cesarean delivery at 37 weeks, the neonate required prolonged neonatal intensive care unit stay. He was discharged when he was 2 months old and has remained stable until the present time.


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