Volume 3, Issue 3 (2018)                   SJRM 2018, 3(3): 185-188 | Back to browse issues page

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Saremi A, Mortazavi S, Ahmadi H. Treatment of primary hydrothorax in a fetus, with intrauterine thoracentesis. SJRM. 2018; 3 (3) :185-188
URL: http://saremjrm.com/article-1-83-en.html
1- “Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”, Sarem Women’s Hospital, Tehran, Iran
2- “Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”, Sarem Women’s Hospital, Tehran, Iran , mazy_mor@yahoo.com
3- Sarem Women’s Hospital, Tehran, Iran
Abstract:   (2919 Views)

Patient Information: Hydrothorax is a rare disorder in fetal period with the prevalence of 1 in 15,000 pregnancies referring to level 3 clinics, often caused by the accumulation of lymphatic fluid in pleura. Moderate to severe cases are associated with the high incidence of mortality and morbidity in fetal and neonatal period; in this cases, fluid depletion via thoracentesis can reduce the complications of the disease.
After doing ultrasonography and screening, a 29-year-old pregnant woman at 31 weeks pregnant was referred to Sarem Hospital due to fetal hydrothorax. In ultrasonography result, the severe right-sided pleural effusion and mediastinal and heart shift to the left were reported. For the fetus, thoracentesis was performed by motherchr('39')s skin ultrasound. The fluid was reaccumulated after several days. Then, amniotic sac was ruptured and with premature labor pain, caesarian section was done; a neonate was borne with hydrops. At birth, thoracentesis was performed in the neonate and the chest tube was inserted. After 10 days, the neonate was discharged with good condition. The fluid obtained from pleural aspiration was Chylous.
Conclusion: Hydrothorax is a life-threatening disease in fetal period, whose subsequent complications can be prevented by the timely treatment. Thoracentesis is a standard treatment that can be associated with complications, such as preterm labor and hydrothorax relapse.

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Article Type: Case Report | Subject: Reproduction
Received: 2017/04/16 | Accepted: 2017/09/20 | Published: 2018/11/22

1. Castagno R, Carreras E, Toran N, Higueras T, Sánchez MA, Cabero L. Fetal Pleural Effusion. Ultrasound Obstet Gynocol. 2007;30(4): 461-2. [Link] [DOI:10.5005/jp-journals-10009-1083]
2. Suárez-Cabezas S, Natera-de Benito D, Pérez-Segura P, Llorente-Otones L, Villar MJA, Rivero-martin MJ. Neonatal Chylothorax and Dysmorphic Phenotype: A Noonan Syndrome?. J Rare Disord Diagn Therapy. 2016;2(2)34-6. [Link]
3. Gathwala G, Singh J, Rattan K, Bhalla K. Nonchylous idiopathic pleural effusion in the newborn. Indian J Crit Care Med. 2011;15(1):46-8. [Link] [DOI:10.4103/0972-5229.78226] [PMID] [PMCID]
4. Longaker MT, Laberge JM, Dansereau J, Langer JC, Crombleholme TM, Callen PW, et al. Primary fetal hydrothorax: Natural history and management. J Pediatr Surg. 1989;24(6):573-6. [Link] [DOI:10.1016/S0022-3468(89)80509-3]
5. Fanaroff AA, Martin RJ. Neonatal-perinatal medicine: Diseases of the fetus and infant. Maryland: Mosby; 1987. [Link]
6. Taylor PM. Neonatal-perinatal medicine: Diseases of the fetus and infant. J Am Med Assoc. 1988;260(17):2580. [Link] [DOI:10.1001/jama.1988.03410170128059]
7. Singh P, Ahmed F. Congenital pulmonary lymphangiectasis resulting in pleural effusions managed by thoracoamniotic shunting. J Ped Surg Case Rep. 2013;1(6):147-51. [Link] [DOI:10.1016/j.epsc.2013.05.003]
8. Aguirre O, Finley B, Ridgway L, Bennett T, Cowles T. Resolution of unilateral fetal hydrothorax with associated non‐immune hydrops after intrauterine thoracentesis. Ultrasound Obstet Gynecol. 1995;5(5):346-8. [Link] [DOI:10.1046/j.1469-0705.1995.05050346.x] [PMID]
9. Hidaka N, Chiba Y. Fetal hydrothorax resolving completely after a single thoracentesis: A report of 2 cases. J Reprod Med. 2007;52(9):843-8. [Link] [PMID]
10. Nicolaides KH, Azar GB. Thoraco-amniotic shunting. Fetal Diagn Ther. 1990;5(3-4):153-64. [Link] [DOI:10.1159/000263586] [PMID]
11. Shih YT, Su PH, Chen JY, Lee IC, Hu JM, Chang HP. Common etiologies of neonatal pleural effusion. Pediatr Neonatol. 2011;52(5):251-5. [Link] [DOI:10.1016/j.pedneo.2011.06.002] [PMID]
12. Hagay Z, Reece EA, Roberts A, Hobbins JC. Isolated fetal pleural effusion: A prenatal management dilemma. Obstet Gynecol. 1993;81(1):147-52. [Link] [PMID]

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