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Salus
versión impresa ISSN 1316-7138
Resumen
DIAZ S, Mardorys et al. Fetal hydrothorax primary: handling antenatal. Salus [online]. 2015, vol.19, n.2, pp.37-43. ISSN 1316-7138.
Fetal hydrothorax (FH) is the presence of fluid in the pleural cavity of the chest. It may be isolated or associated with fetal hydrops and ascites. The incidence 1: 15,000 pregnancies If it is isolated, the most common cause is congenital chylothorax primary abnormality of the lymphatic system. In Newborn (RN) is common in males, usually bilateral primary and sex. In the fetus is secondary with prevalence 1: 1500 live births caused by isoimmunization, infections, heart disease, chromosomal abnormalities, malformations of placenta and umbilical cord. The average age of diagnosis is 27 weeks, ultrasonographically recognized as an anechoic area around the lungs. His prognosis mainly depends on the cause and secondarily of its size, laterality and presence of hydrops. The mortality is estimated at 25%, varying from 15% when it is isolated and 95% associated with hydrops. Most worsen bilateral becoming pregnancy can generate esophageal compression in primary fetal Hydrothorax (HFP) associated with polyhydramnios 72%. HFP case is reported, a patient of 20 years with 25 weeks of gestation, whose ultrasonographic finding documents right pleural effusion, intrauterine thoracentesis is done, obtaining 25cc yellowish liquid, then no decrease in the pleural effusion. It was obtained segmental elective Caesarean at 37 weeks + 6 days; Female RN in stable conditions did not require intubation or artificial ventilatory support. Intrauterine evacuation intrathoracic pressure relieved, allowing a satisfactory expansion of both lungs and respiratory distress avoiding RN.
Palabras clave : Primary fetal hydrops; thoracentesis; pleural effusion; fetal ascitis.