SUCCESSFUL TREATMENT OF PRIMARY FETAL HYDROTHORAX BY LONG-TIME DRAINAGE FROM WEEK 23 - CASE-REPORT AND REVIEW OF THE LITERATURE

被引:13
作者
BECKER, R [1 ]
ARABIN, B [1 ]
NOVAK, A [1 ]
ENTEZAMI, M [1 ]
WEITZEL, HK [1 ]
机构
[1] FREE UNIV BERLIN,KLINIKUM STEGLITZ,DEPT OBSTET & GYNECOL,W-1000 BERLIN 45,GERMANY
关键词
FETAL CHYLOTHORAX; FETAL HYDROTHORAX; INTRAUTERINE THERAPY; NONIMMUNOLOGICAL HYDROPS-FETALIS; PLEURAL EFFUSION; PLEUROAMNIOTIC SHUNTING; PULMONARY HYPOPLASIA;
D O I
10.1159/000263848
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We report on a case of unilateral primary fetal hydrothorax leading to nonimmunological fetal hydrops (NIHF). The NIHF was treated successfully by inserting two consecutive intrauterine catheters at 23 weeks gestation. The first catheter was dislocated through the uterine wall to the maternal peritoneal cavity. At 36 weeks gestation, the mother had a spontaneous onset of labor after premature rupture of membranes and a normal vaginal delivery of a healthy infant with good perinatal outcome. Shunting of PFHT has rarely been described up to now. This case report supports observations of previous authors that early shunting of pleural effusions may prevent progression of NIHF as well as postnatal pulmonary hypoplasia. Unexpected perinatal complications of fetus, mother or both should not be neglected.
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页码:331 / 337
页数:7
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