R. Becker et al., SUCCESSFUL TREATMENT OF PRIMARY FETAL HYDROTHORAX BY LONG-TIME DRAINAGE FROM WEEK 23 - CASE-REPORT AND REVIEW OF THE LITERATURE, Fetal diagnosis and therapy, 8(5), 1993, pp. 331-337
We report on a case of unilateral primary fetal hydrothorax leading to
nonimmunological fetal hydrops (NIHF). The NIHF was treated successfu
lly by inserting two consecutive intrauterine catheters at 23 weeks ge
station. The first catheter was dislocated through the uterine wall to
the maternal peritoneal cavity. At 36 weeks gestation, the mother had
a spontaneous onset of labor after premature rupture of membranes and
a normal vaginal delivery of a healthy infant with good perinatal out
come. Shunting of PFHT has rarely been described up to now. This case
report supports observations of previous authors that early shunting o
f pleural effusions may prevent progression of NIHF as well as postnat
al pulmonary hypoplasia. Unexpected perinatal complications of fetus,
mother or both should not be neglected.