[Pleuroamniotic shunting--case report].
Fetal hydrothorax refers to a collection of fluid within the fetal thorax that may be the result of chylous leak from the thoracic duct (primary hydrothorax) or generalized fluid retention associated with immune or no immune fetal hydrops (secondary hydrothorax). The authors' presents a case report occurred in 2002, of a pregnant woman that at 25 weeks' gestation that was referred to Maternidade Bissaya-Barreto-Coimbra because of a fetal hydrothorax at left, under tension and with cardiac decompensation signs. A fetal thoracocentesis was performed and the diagnosis was chylothorax. Because of a rapid reaccumulation of fluid a pleuroamniotic shunt was placed. The effusion and the cardiac decompensation signs regressed. The delivery was at 38 weeks' gestation. The newborn had been stable. Actually he has 10 months, is healthy and has a normal grow and development.
Unidade de Diagnóstico Pré-Natal/Medicina Fetal, Maternidade Bissaya-Barreto, Coimbra.
Carla T
CT
Rodrigues
Paula
P
Maciel
Sónia C
SC
Ribeiro
Carlos L
CL
Carvalho
Joaquim P
JP
Correia
Luís F
LF
Matos
José B
JB
Mesquita
Ana B
AB
Couceiro
Fernanda R
FR
Jardim
D000650:Amnion / Q000601:surgery*; D000714:Anastomosis, Surgical; D003663:Decision Trees; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000601:surgery*; D007231:Infant, Newborn; D008297:Male; D010994:Pleura / Q000601:surgery*; D011247:Pregnancy; D014463:Ultrasonography