A new successful therapy for fetal chylothorax by intrapleural injection of maternal blood

J. Parra; M. Amenedo; E. Muñiz-Díaz; F. Ormo; M. Simó; C. Vega; J. G. Fernández; R. Senosiain; E. Moliner; G. Guinovart

doi:10.1002/uog.208

A new successful therapy for fetal chylothorax by intrapleural injection of maternal blood

J. Parra, M. Amenedo, E. Muñiz-Díaz, F. Ormo, M. Simó, C. Vega, J. G. Fernández, R. Senosiain, E. Moliner, G. Guinovart

Research output: Contribution to journal › Article › Research › peer-review

16 Citations (Scopus)

Abstract

We present two cases of fetal chylothorax and hydrops diagnosed at 20 weeks' gestation, both of which underwent successful intrauterine treatment. In Case 1, a transient, near total resolution began 2 weeks after an iatrogenic hemothorax following a second thoracocentesis performed at 24 + 6 weeks. Because of pleural fluid reaccumulation, a Cesarean section was performed at 36 weeks. The 3805-g female neonate was admitted to neonatal intensive care but was discharged 50 days later in a healthy condition. In Case 2, resolution occurred after a third thoracocentesis and a second pleural injection of maternal blood, performed at 26 weeks. A 2660-g female neonate was delivered vaginally at 38 weeks. The infant remained asymptomatic and was discharged aged 4 days. Our experience suggests a possible useful role of intrapleural blood injection for the treatment of fetal chylothorax. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.

Original language	English
Pages (from-to)	290-294
Journal	Ultrasound in Obstetrics and Gynecology
Volume	22
Issue number	3
DOIs	https://doi.org/10.1002/uog.208
Publication status	Published - 1 Sep 2003

Keywords

Chylothorax
Fetal therapy
Maternal blood
Ultrasound

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Parra, J., Amenedo, M., Muñiz-Díaz, E., Ormo, F., Simó, M., Vega, C., Fernández, J. G., Senosiain, R., Moliner, E., & Guinovart, G. (2003). A new successful therapy for fetal chylothorax by intrapleural injection of maternal blood. Ultrasound in Obstetrics and Gynecology, 22(3), 290-294. https://doi.org/10.1002/uog.208

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abstract = "We present two cases of fetal chylothorax and hydrops diagnosed at 20 weeks' gestation, both of which underwent successful intrauterine treatment. In Case 1, a transient, near total resolution began 2 weeks after an iatrogenic hemothorax following a second thoracocentesis performed at 24 + 6 weeks. Because of pleural fluid reaccumulation, a Cesarean section was performed at 36 weeks. The 3805-g female neonate was admitted to neonatal intensive care but was discharged 50 days later in a healthy condition. In Case 2, resolution occurred after a third thoracocentesis and a second pleural injection of maternal blood, performed at 26 weeks. A 2660-g female neonate was delivered vaginally at 38 weeks. The infant remained asymptomatic and was discharged aged 4 days. Our experience suggests a possible useful role of intrapleural blood injection for the treatment of fetal chylothorax. Copyright {\textcopyright} 2003 ISUOG. Published by John Wiley & Sons, Ltd.",

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A new successful therapy for fetal chylothorax by intrapleural injection of maternal blood. / Parra, J.; Amenedo, M.; Muñiz-Díaz, E.; Ormo, F.; Simó, M.; Vega, C.; Fernández, J. G.; Senosiain, R.; Moliner, E.; Guinovart, G.

In: Ultrasound in Obstetrics and Gynecology, Vol. 22, No. 3, 01.09.2003, p. 290-294.

Research output: Contribution to journal › Article › Research › peer-review

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T1 - A new successful therapy for fetal chylothorax by intrapleural injection of maternal blood

AU - Parra, J.

AU - Amenedo, M.

AU - Muñiz-Díaz, E.

AU - Ormo, F.

AU - Simó, M.

AU - Vega, C.

AU - Fernández, J. G.

AU - Senosiain, R.

AU - Moliner, E.

AU - Guinovart, G.

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AB - We present two cases of fetal chylothorax and hydrops diagnosed at 20 weeks' gestation, both of which underwent successful intrauterine treatment. In Case 1, a transient, near total resolution began 2 weeks after an iatrogenic hemothorax following a second thoracocentesis performed at 24 + 6 weeks. Because of pleural fluid reaccumulation, a Cesarean section was performed at 36 weeks. The 3805-g female neonate was admitted to neonatal intensive care but was discharged 50 days later in a healthy condition. In Case 2, resolution occurred after a third thoracocentesis and a second pleural injection of maternal blood, performed at 26 weeks. A 2660-g female neonate was delivered vaginally at 38 weeks. The infant remained asymptomatic and was discharged aged 4 days. Our experience suggests a possible useful role of intrapleural blood injection for the treatment of fetal chylothorax. Copyright © 2003 ISUOG. Published by John Wiley & Sons, Ltd.

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