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Intrathoracic shunt displacement with massive pleural effusion after successful shunt placement in a hydropic fetus with multilocular macrocystic congenital pulmonary airway malformation
Author(s) -
Hara Asako,
Hidaka Nobuhiro,
Nitahara Kenta,
Sakai Atsuhiko,
Kido Saki,
Kato Kiyoko
Publication year - 2021
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.22886
Subject(s) - medicine , shunting , pleural effusion , fetus , effusion , lung , gestation , surgery , shunt (medical) , pulmonary sequestration , pleural disease , cyst , respiratory disease , radiology , pregnancy , genetics , biology
We successfully performed shunting for a fetus with a multilocular macrocystic lung mass with hydrops at 22 weeks' gestation. Complete resolution of hydrops was achieved; however, at 35 weeks' gestation, the fetus developed acute massive pleural effusion. Fetal ultrasound examination revealed that one end of the shunting tube had migrated downward in the thoracic cavity, which led to fluid draining from the lung cyst. The baby was delivered at term and was discharged following neonatal intensive care management. Intrathoracic displacement of the shunt can occur, followed by massive pleural effusion due to drainage of cystic fluid.