Open AccessUltrasonic Real Time Diagnosis of Hydrothorax before Delivery in an Infant with Extralobar Lung Sequestration
Author(s) -
Kristoffersen S. E.,
Ipsen L.
Publication year - 1984
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348409154672
Subject(s) - medicine , hydrothorax , pleural effusion , gestation , pulmonary sequestration , surgery , lung , polyhydramnios , obstetrics , ascites , pregnancy , biology , genetics
. A female infant with extralobar lung sequestration (ELS) combined with bilateral hydrothorax and ascites is presented. A 34‐year‐old para II, pregnant in the 29th gestation week, was referred to hospital because of acute hy‐dramnios. Ultrasound examination demonstrated marked hydramnios, together with ascites and bilateral pleural effusion in the fetus. In the amniotic fluid, alfafetoprotein was found normal and the karyotype showed a normal chromosome pattern, 46 xx. The hydramnios was so severe and the cervix so unripe, that cesarean section had to be undertaken, and a girl of 1 650 g, and 42 cm long was born. Just after delivery the infant had bradycardia, cyanosis and respiratory insufficiency, with Apgar score 2 during the first 15 min. Manual ventilation followed by Servo respirator with 100% oxygen was given, but with poor effect. The infant lived only 6 3/4 hours. At autopsy there was hydro‐thorax, bilateral collapsed lungs and ascites and ELS as the only congenital malformation.