What is the current role of thoracentesis in severe fetal hydrothorax? Case report

Authors

  • Oswaldo Tipiani Rodríguez Médico especialista en Ginecología y Obstetricia, Departamento de Gineco Obstetricia del Hospital Nacional Alberto Sabogal Sologuren – EsSalud
  • Miguel A. Ponciano Biaggi Médico especialista en Ginecología y Obstetricia, Departamento de Gineco Obstetricia del Hospital Nacional Alberto Sabogal Sologuren – EsSalud
  • Gian C Pérez Fleming Médico especialista en Ginecología y Obstetricia, Departamento de Gineco Obstetricia del Hospital Nacional Alberto Sabogal Sologuren – EsSalud
  • Israel M Gonzales Enríquez Médico especialista en Ginecología y Obstetricia, Departamento de Gineco Obstetricia del Hospital Nacional Alberto Sabogal Sologuren – EsSalud
  • Liz K Andrés Calvo Médico especialista en Ginecología y Obstetricia, Departamento de Gineco Obstetricia del Hospital Nacional Alberto Sabogal Sologuren – EsSalud
  • Julissa Y Pita Álvarez Médico especialista en Pediatría, SubEspecialidad en Neonatología, Servicio de Neonatología del Hospital Nacional Alberto Sabogal Sologuren- EsSalud
  • Milagros M Dueñas Roque Médico especialista en Genética Médica, Servicio de Genética del Hospital Nacional Edgardo Rebagliati Martins – EsSalud
  • Percy Pantoja Soto Médico especialista en Ginecología y Obstetricia, Departamento de Gineco Obstetricia del Hospital Nacional Alberto Sabogal Sologuren – EsSalud

DOI:

https://doi.org/10.31403/rpgo.v68i2415

Keywords:

Toracocentesis, Hidrotórax, Hidropesía fetal, Ultrasonografía prenatal, Diagnóstico, Terapias fetales, Derrame pleural

Abstract

Hydrothorax is a primary pleural effusion that occurs during prenatal life (called
“primary chylothorax” after birth). In certain cases, this effusion is severe and
produces pulmonary and cardiac compression, and perinatal mortality remains high.
Newborns with hydrothorax often require drainage, total parenteral nutrition and
specific medication for their recovery. However, prenatal interventions, mainly with
thoraco-amniotic shunts, can improve these results. We report the case of a fetus
with severe hydrothorax who underwent thoracentesis and review the literature on
its role in current prenatal management

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Published

2022-07-06

Issue

Section

Casos Clínicos

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