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Complete resolution of hydrops by placement of double basket catheter in a case of macrocystic type multilocular pulmonary sequestration.

Abstract：

OBJECTIVE:We presented a fetus affected by macrocystic lung lesions with progressive hydropic changes during the second trimester, but experienced remarkable resolution of hydrops in the third trimester after a series of in utero interventions. CASE REPORT:A 19-year-old women, G1P0, presented with fetal multilocular thoracic mass and hydropic change at 23+4 weeks of gestation. After non-directive genetic counseling, she opted for intrauterine cyst aspiration followed by intra-cystic OK-432 injection at 24 weeks of pregnancy, as well as sequential thoracoamniotic shunts at 26 weeks and 27+3 weeks of pregnancy when we observed hydrops developed progressively. Finally, the hydrops resolved in the third trimester and a healthy baby was born at 33+3 weeks of pregnancy, in which further surgical intervention was performed at five-month old. CONCLUSION:Thoracoamniotic shunting is a preferred option for all hydropic fetuses resulted from large macrocystic lung lesions to enhance perinatal survival rate.

journal_name

Taiwan J Obstet Gynecol

journal_title

Taiwanese journal of obstetrics & gynecology

authors

Wu WJ,Shih JC,Sago H,Chen M

doi

10.1016/j.tjog.2017.04.027

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

402-405

issue

3

eissn

1028-4559

issn

1875-6263

pii

S1028-4559(17)30097-9

journal_volume

56

pub_type

杂志文章

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