@2024 Afarand., IRAN

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ISSN: 2251-8215    Sarem Journal of Reproductive Medicine 2018;2(4):

Information & Methods Hydrothorax is a rare disorder in fetal period with the prevalence of 1 in 15,000 ‎pregnancies referring to level 3 clinics, often caused by the accumulation of ‎lymphatic fluid in pleura. Moderate to severe cases are associated with the high ‎incidence of mortality and morbidity in fetal and neonatal period; in this cases, ‎fluid depletion via thoracentesis can reduce the complications of the disease.‎ After doing ultrasonography and screening, a 29-year-old pregnant woman at 31 ‎weeks pregnant was referred to Sarem Hospital due to fetal hydrothorax. In ‎ultrasonography result, the severe right-sided pleural effusion and mediastinal ‎and heart shift to the left were reported. For the fetus, thoracentesis was ‎performed by mother's skin ultrasound. The fluid was reaccumulated after several ‎days. Then, amniotic sac was ruptured and with premature labor pain, caesarian ‎section was done; a neonate was borne with hydrops. At birth, thoracentesis was ‎performed in the neonate and the chest tube was inserted. After 10 days, the ‎neonate was discharged with good condition. The fluid obtained from pleural ‎aspiration was Chylous.‎
Conclusion Hydrothorax is a life-threatening disease in fetal period, whose subsequent ‎complications can be prevented by the timely treatment. Thoracentesis is a ‎standard treatment that can be associated with complications, such as preterm ‎labor and hydrothorax relapse.‎