| Nonimmune hydrops fetalis, pulmonary sequestration, and favorable neonatal outcome. | |
| | |
MedLine Citation:
|
PMID: 8841251 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND: The association of pulmonary sequestration and nonimmune fetal hydrops reportedly carries a very poor prognosis for survival. We describe three newborns with good outcomes despite the diagnosis of pulmonary sequestration; two cases were associated with hydrops fetalis and one with isolated fetal ascites. CASES: Two neonates with severe hydrops fetalis had pulmonary sequestration diagnosed postnatally. A third infant presented early in gestation with marked fetal ascites that regressed spontaneously before delivery; this infant also had pulmonary sequestration. Despite severe respiratory insufficiency requiring aggressive management, all three infants survived after surgical resection of the sequestered lung mass. CONCLUSION: These cases demonstrate the difficulties associated with antenatal counseling regarding long-term prognosis for infants with nonimmune hydrops and pulmonary sequestration. With optimal care in a tertiary perinatal center, a less pessimistic outlook than previously described in the literature may be appropriate. |
| | |
Authors:
|
O P da Silva; R Ramanan; W Romano; A Bocking; M Evans |
Publication Detail:
|
Type: Case Reports; Duplicate Publication; Journal Article |
Journal Detail:
|
Title: Obstetrics and gynecology Volume: 88 ISSN: 0029-7844 ISO Abbreviation: Obstet Gynecol Publication Date: 1996 Oct |
Date Detail:
|
Created Date: 1996-11-08 Completed Date: 1996-11-08 Revised Date: 2009-10-26 |
Medline Journal Info:
|
Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 681-3 Citation Subset: AIM; IM |
Affiliation:
|
Department of Pediatrics, St. Joseph's Health Center, University of Western Ontario, London, Canada. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Ascites / complications, congenital, diagnosis Bronchopulmonary Sequestration / complications*, diagnosis, surgery Female Fetal Diseases / diagnosis Humans Hydrops Fetalis / complications*, diagnosis Infant, Newborn Male Pregnancy Prognosis Respiratory Insufficiency / etiology Ultrasonography, Prenatal |
| Comments/Corrections | |
Comment In:
|
Obstet Gynecol. 1997 Aug;90(2):190
[PMID:
9280871
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Prenatal ultrasound diagnosis of cerebral arteriovenous fistula.
Next Document: Fluorescence in situ hybridization for the detection of aneuploidy from archived fetal cells.