A Rare Case of Fetal Hydrothorax Treated through Amniocentesis and Thoracentesis
Keywords:
Fetal Hydrothorax, Amniocentesis, Thoracentesis, Downs Syndrome
Abstract
We present the rare case of a 27-year-old Caucasian female which was admitted in our service at 27 weeks of gestation after beig discovered with left fetal hydrothorax during routine prenatal ultrasound. Samples of maternal blood and amniotic fluid (trough amniocentesis) were obtained in order to establish the cause (immune or non-immune) and fetal thoracentesis was performed in order to allow for lung re-expansion. Analysis of the amniotic and pleural fluids trough QF-PCR and amniocyte cultures established the diagnosis of Down syndrome and the decision was taken to perform cesarean section at 33 weeks of gestation following two weeks treatment with dexamethasone.
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References
1. Braun T, Brauer M, Fuchs I, Czernik C, Dudenhausen JW, Henrich W, et al, Mirror syndrome: a systematic review of fetal associated conditions, maternal presentation and perinatal outcome, Fetal Diagn Ther. 2010;27(4):191-203. doi: 10.1159/000305096.
2. Désilets V, Audibert F; Society of Obstetrician and Gynaecologists of Canada, Investigation and management of non-immune fetal hydrops, J Obstet Gynaecol Can, 2013, 35(10):923-38. [PubMed]
3. Bellini C, Hennekam RC, Bonioli E, A diagnostic flow chart for non-immune hydrops fetalis, Am J Med Genet A. 2009 May;149A(5):852-3. [PubMed]
4. Santo S, Mansour S, Thilaganathan B, Homfray T, Papageorghiou A, Calvert S, et al, Prenatal diagnosis of non-immune hydrops fetalis: what do we tell the parents, Prenat Diagn, 2011, 31:186–195. [PubMed]
5. Jauniaux E, Van Maldergem L, De Munter C, Moscoso G, Gillerot Y, Nonimmune hydrops fetalis associated with genetic abnormalities, Obstet Gynecol, 1990, 75:568–572. [PubMed]
6. Hansen T, Non immune hydrops fetalis, In: Rudolph A, Kamei R, Overby K (eds). Rudolph’s pediatrics. 21st ed., McGraw-Hill, New York, 2003.
7. Ramsay SL, Maire I, Bindloss C, Fuller M, Whitfield PD, Piraud M, et al, Determination of oligosaccharides and glycolipids in amniotic fluid by electrospray ionisation tandem mass spectrometry: in utero indicators of lysosomal storage diseases, Mol Gene Metab 2004, 83:231–238.
8. Weber AM, Philipson EH, Ingardia CJ, Spontaneous resolution of second trimester fetal pleural effusion,J Matern Fetal Neonatal Med, 1992, 1(2):87-89.
9. Klam S, Bigras JL, Hudon L, Predicting outcome in primary fetal hydrothorax, Fetal Diagn Ther, 2005, 20(5):366-370. [PubMed]
10. Yinon Y, Kely E, Ryan G, Fetal pleural effusions, Best Pract Res Clin Obstet Gynaecol, 2008, 22(1):77-96. [PubMed]
11. Hidaka N, Chiba Y, fetal hydrothorax resolving completely aftera single thoracentesis: a report of 2 cases, J Reprod Med, 2007, 52(9):843-848.
12. Alkazaleh F, Saleem M, Badran E, Intrathoracic displacement of pleuroamniotic shunt after successful in utero treatment of fetal hydrops secondary to hydrothorax. Case report and review of the literature, Fetal Diagn Ther, 2009, 25(1):40-43. [PubMed]
13. Derderian SC, Trivedi S, Farrell J, Keller RL, Rand L, et al, Outcomes of fetal intervention for primary hydrothorax, J Pediatr Surg, 2014, 49(6):900-903. [PubMed]
14. Petersen S, Kaur R, Thomas JT, Cincotta R, Gardener G. The outcome of isolated primary fetal hydrothorax: a 10-year review from a tertiary center, Fetal Diagn Ther., 2013, 34(2):69-76. [PubMed]
15. Albu D. , Dumitrescu M. , Albu C. , Severin E. Fetal hydrotorax, Presented at the 61th Annual Meeting of The American Society of Human Genetics, Oct. 11 - 15, 2011, Montreal, Canada.
2. Désilets V, Audibert F; Society of Obstetrician and Gynaecologists of Canada, Investigation and management of non-immune fetal hydrops, J Obstet Gynaecol Can, 2013, 35(10):923-38. [PubMed]
3. Bellini C, Hennekam RC, Bonioli E, A diagnostic flow chart for non-immune hydrops fetalis, Am J Med Genet A. 2009 May;149A(5):852-3. [PubMed]
4. Santo S, Mansour S, Thilaganathan B, Homfray T, Papageorghiou A, Calvert S, et al, Prenatal diagnosis of non-immune hydrops fetalis: what do we tell the parents, Prenat Diagn, 2011, 31:186–195. [PubMed]
5. Jauniaux E, Van Maldergem L, De Munter C, Moscoso G, Gillerot Y, Nonimmune hydrops fetalis associated with genetic abnormalities, Obstet Gynecol, 1990, 75:568–572. [PubMed]
6. Hansen T, Non immune hydrops fetalis, In: Rudolph A, Kamei R, Overby K (eds). Rudolph’s pediatrics. 21st ed., McGraw-Hill, New York, 2003.
7. Ramsay SL, Maire I, Bindloss C, Fuller M, Whitfield PD, Piraud M, et al, Determination of oligosaccharides and glycolipids in amniotic fluid by electrospray ionisation tandem mass spectrometry: in utero indicators of lysosomal storage diseases, Mol Gene Metab 2004, 83:231–238.
8. Weber AM, Philipson EH, Ingardia CJ, Spontaneous resolution of second trimester fetal pleural effusion,J Matern Fetal Neonatal Med, 1992, 1(2):87-89.
9. Klam S, Bigras JL, Hudon L, Predicting outcome in primary fetal hydrothorax, Fetal Diagn Ther, 2005, 20(5):366-370. [PubMed]
10. Yinon Y, Kely E, Ryan G, Fetal pleural effusions, Best Pract Res Clin Obstet Gynaecol, 2008, 22(1):77-96. [PubMed]
11. Hidaka N, Chiba Y, fetal hydrothorax resolving completely aftera single thoracentesis: a report of 2 cases, J Reprod Med, 2007, 52(9):843-848.
12. Alkazaleh F, Saleem M, Badran E, Intrathoracic displacement of pleuroamniotic shunt after successful in utero treatment of fetal hydrops secondary to hydrothorax. Case report and review of the literature, Fetal Diagn Ther, 2009, 25(1):40-43. [PubMed]
13. Derderian SC, Trivedi S, Farrell J, Keller RL, Rand L, et al, Outcomes of fetal intervention for primary hydrothorax, J Pediatr Surg, 2014, 49(6):900-903. [PubMed]
14. Petersen S, Kaur R, Thomas JT, Cincotta R, Gardener G. The outcome of isolated primary fetal hydrothorax: a 10-year review from a tertiary center, Fetal Diagn Ther., 2013, 34(2):69-76. [PubMed]
15. Albu D. , Dumitrescu M. , Albu C. , Severin E. Fetal hydrotorax, Presented at the 61th Annual Meeting of The American Society of Human Genetics, Oct. 11 - 15, 2011, Montreal, Canada.
CITATION
DOI: 10.17511/ijmrr.2015.i1.20
Published: 2015-02-28
How to Cite
1.
Albu D-F, Albu C-C, Albu S-D, Dumitrescu M. A Rare Case of Fetal Hydrothorax Treated through Amniocentesis and Thoracentesis. Int J Med Res Rev [Internet]. 2015Feb.28 [cited 2024Nov.8];3(1):118-20. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/194
Section
Case Report
OAI - Open Archives Initiative
