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A new successful therapy for fetal chylothorax by intrapleural injection of maternal blood
Author(s) -
Parra J.,
Amenedo M.,
MuñizDíaz E.,
Ormo F.,
Simó M.,
Vega C.,
FernÁndez J. G.,
Senosiain R.,
Moliner E.,
Guinovart G.
Publication year - 2003
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1002/uog.208
Subject(s) - medicine , chylothorax , surgery , asymptomatic , fetus , gestation , hemothorax , anesthesia , pregnancy , pneumothorax , genetics , biology
We present two cases of fetal chylothorax and hydrops diagnosed at 20 weeks' gestation, both of which underwent successful intrauterine treatment. In Case 1, a transient, near total resolution began 2 weeks after an iatrogenic hemothorax following a second thoracocentesis performed at 24 + 6 weeks. Because of pleural fluid reaccumulation, a Cesarean section was performed at 36 weeks. The 3805‐g female neonate was admitted to neonatal intensive care but was discharged 50 days later in a healthy condition. In Case 2, resolution occurred after a third thoracocentesis and a second pleural injection of maternal blood, performed at 26 weeks. A 2660‐g female neonate was delivered vaginally at 38 weeks. The infant remained asymptomatic and was discharged aged 4 days. Our experience suggests a possible useful role of intrapleural blood injection for the treatment of fetal chylothorax. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.