Abstract:We report a case of massive unilateral hydrothorax diagnosed at 18 weeks' gestation in a fetus with normal karyotype. The fetus was affected severely by hydrops from 22 weeks. Initially, we performed a pleurodesis, but due to worsening hydrothorax evolving into hydrops, we proceeded with insertion of a transplacental thoracoamniotic shunt. Improvement was evident from 1 week after the procedure followed by resolution of hydrothorax for the remainder of the pregnancy. After a cesarean delivery at 37 weeks, the … Show more
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