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Revista Peruana de Ginecología y Obstetricia

On-line version ISSN 2304-5132


TIPIANI RODRIGUEZ, Oswaldo et al. What is the current role of thoracentesis in severe fetal hydrothorax? Case report. Rev. peru. ginecol. obstet. [online]. 2022, vol.68, n.2, 00009.  Epub July 06, 2022. ISSN 2304-5132.

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.

Keywords : Thoracentesis; Hydrothorax; Hydrops fetalis; Prenatal ultrasonography; diagnosis; Fetal therapies; Pleural effusion..

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