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

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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 © 2003 ISUOG. Published by John Wiley & Sons, Ltd.
    Original languageEnglish
    Pages (from-to)290-294
    JournalUltrasound in Obstetrics and Gynecology
    Volume22
    Issue number3
    DOIs
    Publication statusPublished - 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