Abstract

SILVA, Beatriz Bettencourt et al. Primary fetal pleural effusion: a case of successful prenatal intervention. Acta Obstet Ginecol Port [online]. 2019, vol.13, n.2, pp.120-124. ISSN 1646-5830.

Fetal pleural effusion is a rare condition whose prognosis is highly variable. Most primary cases are chylothorax and prenatal interventions can significantly alter its natural course. Some authors defend thoracoamniotic shunting as the preferred intervention but in few cases the effusion may resolve or stabilize after a single transabdominal thoracentesis. The authors present a case of primary bilateral pleural effusion identified at the 31st gestational week. A thoracentesis was performed at the 32nd week. A little effusion was maintained, with no reaccumulation. The newborn had an appropriate respiratory response at delivery and no thoracentesis was required in the neonatal period.

Keywords : Primary hydrothorax; Prenatal management; Therapeutic thoracentesis.

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