| Congenital chylothorax: a case report. | |
| | |
MedLine Citation:
|
PMID: 12528166 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A case of unilateral congenital hydrothorax diagnosed at 21 weeks and treated with a pleuro-amniotic shunt at 23 weeks' gestation is presented. The rapid production of pleural fluid led to the development of polyhydramnios which was treated with a selective Cox inhibitor. Due to worsening of the hydrothorax, a third thoracocentesis was performed at 30 weeks' gestation prior to a Cesarean section. The neonate responded well to mechanical ventilation, a thoracic drainer that was inserted between days 5 and 14, fluid and protein replacement and gradual transition from parenteral to intestinal nutrition. Early diagnosis of chylothorax should be treated by thoraco-amniotic drainage to prevent fetal pulmonary hypoplasia and congestive cardiac failure. Polyhydramnios is a complication of this therapy and may require treatment with a Cox inhibitor. |
| | |
Authors:
|
T Brito; C Oliveira; L Sousa; A Barbosa; O Pinho; M Mesquita; R Pinto; A Inocêncio; F Valente |
Related Documents
:
|
1805196 - A fetal cystic neck mass associated with maternal tuberous sclerosis. case report and l... 975596 - Infantile xx male: a case report. 16522416 - Twin pregnancies with two separate placental masses can still be monochorionic and have... 20020466 - Prenatal diagnosis and outcome of partial agenesis and hypoplasia of the corpus callosum. 3182176 - Bullous retinal detachment in diffuse retinal pigment epitheliopathy. 23008976 - The epidemiology of dengue fever in palau. |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology Volume: 21 ISSN: 0960-7692 ISO Abbreviation: Ultrasound Obstet Gynecol Publication Date: 2003 Jan |
Date Detail:
|
Created Date: 2003-01-15 Completed Date: 2003-05-19 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 9108340 Medline TA: Ultrasound Obstet Gynecol Country: England |
Other Details:
|
Languages: eng Pagination: 70-1 Citation Subset: IM |
Copyright Information:
|
Copyright 2003 ISUOG. Published by John Wiley & Sons, Ltd. |
Affiliation:
|
Department of Obstetrics and Gynaecology, Gaia Hospital, Gaia, Portugal. obstet@chvng.pt |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Cesarean Section Chylothorax / congenital*, surgery, ultrasonography Drainage Female Fetal Diseases / ultrasonography* Humans Hydrothorax / etiology Infant, Newborn Male Pleural Effusion / etiology, surgery Pleurodesis / methods Pregnancy Pregnancy Trimester, Second |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Treatment of severe fetal chylothorax associated with pronounced hydrops with intrapleural injection...
Next Document: Prenatal ultrasonographic diagnosis of atypical Nonne-Milroy lymphedema.