What is the current role of thoracentesis in severe fetal hydrothorax? Case report

• Autores: Tipiani Rodríguez, Oswaldo, Ponciano Biaggi, Miguel A., Pérez Fleming, Gian C, Gonzales Enríquez, Israel M, Andrés Calvo, Liz K, Pita Álvarez, Julissa Y, Dueñas Roque, Milagros M, Pantoja Soto, Percy
• Formato: artículo
• Fecha de Publicación: 2022
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español; inglés
• OAI Identifier: oai:ginecologiayobstetricia.pe:article/2415
• Enlace del recurso: https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2415
• Nivel de acceso: acceso abierto
• Materia: Toracocentesis; Hidrotórax; Hidropesía fetal; Ultrasonografía prenatal; Diagnóstico; Terapias fetales; Derrame pleural

Hydrothorax is a primary pleural effusion that occurs during prenatal life (called“primary chylothorax” after birth). In certain cases, this effusion is severe andproduces pulmonary and cardiac compression, and perinatal mortality remains high.Newborns with hydrothorax often require drainage, total parenteral nutrition andspecific medication for their recovery. However, prenatal interventions, mainly withthoraco-amniotic shunts, can improve these results. We report the case of a fetuswith severe hydrothorax who underwent thoracentesis and review the literature onits role in current prenatal management