Bilateral Fetal Chylothorax: Results of Unilateral in Utero Therapy

William J. Watson; David P. Munson; Michael W. Christensen

doi:10.1055/s-2007-994304

American Journal of Perinatology, Table of Contents

Am J Perinatol 1996; 13(2): 115-117
DOI: 10.1055/s-2007-994304

ORIGINAL ARTICLE

Bilateral Fetal Chylothorax: Results of Unilateral in Utero Therapy

William J. Watson¹ , David P. Munson² , Michael W. Christensen³

¹Department of Perinatal Medicine, Rapid City Regional Hospital, Rapid City, South Dakota
²Department of Neonatology, Sioux Valley Hospital, Sioux Falls, Rapid City Regional Hospital, Rapid City, South Dakota
³Department of Obstetrics and Gynecology, Rapid City Regional Hospital, Rapid City, South Dakota

Abstract

ABSTRACT

The optimal method for antenatal treatment of pleural effusions from congenital chylothorax is unknown. A fetus with bilateral congenital chylothorax and hydrops had a pleural catheter placed in utero on only one side of the fetal chest for 14 days prior to delivery. The fetal hydrops partially resolved. After birth there was significantly less drainage from the pleural space that had been antenatally drained. This case demonstrates potential neonatal advantages of pleuro-amniotic shunt placement.

Keywords

Chylothorax - hydrops - pleuro-amniotic shunt

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