Isolated bilateral fetal pleural effusion: diagnosed on antenatal ultrasonography

Ansari, Sajid Ali; Ahmad, Kaleem; Dhungel, K; Gupta, Mrinal; Rauniyar, RK; Kumar, Anand

doi:10.3126/njms.v3i1.10367

Cited by 2 publications

(1 citation statement)

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“…Fetal pleural effusion is usually antenatally detected with ultrasound as an anechoic fluid accumulation in the fetal chest along with flattened diaphragmatic contours . Pleural effusions may result in polyhydramnios, and this is thought to be due to interference in the normal fetal swallowing mechanism or as a consequence of fetal congestive heart failure and hydrops through disruption of venous return .…”

Section: Introductionmentioning

confidence: 99%

Primary fetal pleural effusion: Characteristics, outcomes, and the role of intervention

et al. 2019

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Background We aimed to present the natural history and outcomes of fetal primary pleural effusions (PPE). Methods Fetuses with prenatal diagnosis of PPE delivered between January 2011 and June 2018 were included. Fetal PPE were separated into groups: resolved, stable, or progressive. Progressive PPE was diagnosed, using fetal echocardiography, by the new onset of fetal hydrops or impaired cardiac function. Data were reported as median [range] and n (%). Results Among 189 fetuses with antenatal diagnosis of pleural effusion, 30 had a PPE. A total of 26.7% (n = 8), 26.7% (n = 8), and 40.0% (n = 12) were classified as resolved, stable, and progressive, respectively; two were lost to follow‐up. In 14 cases (50%), there were bilateral pleural effusions. Of the 12 cases in the progressive group, four (33.3%) had amnioreduction, six (50.0%) had thoracentesis, and eight (66.7%) had shunt placement performed. There were two fetal deaths, both in the progressive group, one of which received amnioreduction and the other underwent both thoracentesis and shunt placement prior to demise. Conclusion In more than half of fetuses with prenatal PPE, the effusion remained stable or spontaneously resolved, and the perinatal outcomes were generally favorable. This information will be useful in optimizing the counseling and care of these patients.

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Section: Introductionmentioning

confidence: 99%