Document Detail

Nonimmune hydrops fetalis, pulmonary sequestration, and favorable neonatal outcome.
MedLine Citation:
PMID:  8841251     Owner:  NLM     Status:  MEDLINE    
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.
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    
Department of Pediatrics, St. Joseph's Health Center, University of Western Ontario, London, Canada.
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MeSH Terms
Ascites / complications,  congenital,  diagnosis
Bronchopulmonary Sequestration / complications*,  diagnosis,  surgery
Fetal Diseases / diagnosis
Hydrops Fetalis / complications*,  diagnosis
Infant, Newborn
Respiratory Insufficiency / etiology
Ultrasonography, Prenatal
Comment In:
Obstet Gynecol. 1997 Aug;90(2):190   [PMID:  9280871 ]

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