open access

Vol 84, No 5 (2013)
ARTICLES
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Intrauterine fetal therapy of NIHF with massive pleural effusion – a case study

Kamila Sobczuk, Justyna Wojtera, Krzysztof Szaflik, Zbigniew Celewicz
DOI: 10.17772/gp/1595
·
Ginekol Pol 2013;84(5).

open access

Vol 84, No 5 (2013)
ARTICLES

Abstract

Hydrops fetalis (fetal hydrops) is a serious fetal condition defined as abnormal accumulation of fluid in two or more extravascular compartments, including ascites, pleural effusion, pericardial effusion, and skin edema. Edema is classified as immune or non-immune. Today, more than 90% of fetal edema has non-immune cause. This paper presents a case of a pregnant woman who was admitted to the Obstetrics and Gynecology Department because of fetal hydrops with massive pleural effusion and polyhydramnios at 34 weeks gestation. The intrauterine therapy consisted of two treatments. During the first surgery amnioreduction, evacuation of fluid from the pleural cavity of the fetus, and shunts to both pleural cavities were performed. During the second surgery amnioreduction, cordocentesis with albumin administration and pleural shunt were performed. Intrauterine therapy led to a reduction of swelling of the fetus from 7mm up to 1-2 mm and the total evacuation of fluid from the pleural cavity and the fetal lung expansion. We also present the condition of the neonate after birth and after 12 months of life.

Abstract

Hydrops fetalis (fetal hydrops) is a serious fetal condition defined as abnormal accumulation of fluid in two or more extravascular compartments, including ascites, pleural effusion, pericardial effusion, and skin edema. Edema is classified as immune or non-immune. Today, more than 90% of fetal edema has non-immune cause. This paper presents a case of a pregnant woman who was admitted to the Obstetrics and Gynecology Department because of fetal hydrops with massive pleural effusion and polyhydramnios at 34 weeks gestation. The intrauterine therapy consisted of two treatments. During the first surgery amnioreduction, evacuation of fluid from the pleural cavity of the fetus, and shunts to both pleural cavities were performed. During the second surgery amnioreduction, cordocentesis with albumin administration and pleural shunt were performed. Intrauterine therapy led to a reduction of swelling of the fetus from 7mm up to 1-2 mm and the total evacuation of fluid from the pleural cavity and the fetal lung expansion. We also present the condition of the neonate after birth and after 12 months of life.
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Keywords

Shunt, nonimmune hydrops fetalis, massive pleural effusion, intrauterine fetal therapy

About this article
Title

Intrauterine fetal therapy of NIHF with massive pleural effusion – a case study

Journal

Ginekologia Polska

Issue

Vol 84, No 5 (2013)

DOI

10.17772/gp/1595

Bibliographic record

Ginekol Pol 2013;84(5).

Keywords

Shunt
nonimmune hydrops fetalis
massive pleural effusion
intrauterine fetal therapy

Authors

Kamila Sobczuk
Justyna Wojtera
Krzysztof Szaflik
Zbigniew Celewicz

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