Nonimmune hydrops fetalis, pulmonary sequestration, and favorable neonatal outcome.
Obstet Gynecol
; 88(4 Pt 2): 681-3, 1996 Oct.
Article
in En
| MEDLINE
| ID: mdl-8841251
ABSTRACT
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.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Hydrops Fetalis
/
Bronchopulmonary Sequestration
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Newborn
/
Pregnancy
Language:
En
Journal:
Obstet Gynecol
Year:
1996
Document type:
Article
Affiliation country:
Canada