Fetal pleural effusion.
Fetal pleural effusion, a nonspecific accumulation of fluid in the pleural space, is an uncommon anomaly which can be associated with aneuploidy and a range of other structural malformations or genetic syndromes. Spontaneous resolution is not rare and confers a good prognosis. Perinatal outcome is better for those fetuses without hydrops than those presenting with hydrops. A detailed review of the literature indicates that, for fetuses with persistent effusions, in utero intervention (repeated thoracocentesis, intrauterine shunting and pleurodesis) may improve the chances of survival.
Rustico
Maria Angela
MA
1st Department of Obstetrics and Gynecology, University of Milano, Ospedale Buzzi, Via Castelvetro 32, Milano - Italy.
Lanna
Mariano
M
Coviello
Dario
D
Smoleniec
John
J
Nicolini
Umberto
U
D000465:Algorithms; D018450:Disease Progression; D005315:Fetal Diseases / Q000175:diagnosis* / Q000209:etiology* / Q000473:pathology; D005332:Fetoscopy / Q000379:methods; D006801:Humans; D019152:Paracentesis; D010996:Pleural Effusion / Q000150:complications / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D018700:Pleurodesis / Q000379:methods; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods