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Related Experiment Videos

Intrathoracic fluid may be a normal finding at around 8 gestational weeks.

B Benoit1, M M Murta, J Leite

  • 1Obstetrics and Gynecology, Princess Grace Hospital, Monaco, France.

Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology
|June 22, 2007
PubMed
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Early embryonic thoracic fluid, observed around 8 weeks gestation, appears to be a transient pericardial collection. This finding resolved by week 12 and was associated with normal fetal development and birth outcomes.

Area of Science:

  • Embryology
  • Fetal Medicine
  • Diagnostic Ultrasound

Background:

  • Pericardial fluid collections in early gestation can be a diagnostic challenge.
  • Understanding transient fluid collections is crucial for accurate fetal assessment.

Purpose of the Study:

  • To describe the ultrasound observation of embryonic thoracic fluid around 8 weeks' gestation.
  • To investigate the etiology and clinical significance of this early finding.

Main Methods:

  • Retrospective analysis of ultrasound scans from 6-10 weeks gestation.
  • Inclusion criteria: embryos with anechoic fluid collection surrounding the heart.
  • Data collected: gestational age, fetal heart rate, maternal age, nuchal translucency, and second-trimester scan results.

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Main Results:

  • Five cases of early pericardial fluid collection were identified at 8 weeks gestation.
  • The fluid collection resolved completely by the 12-week nuchal scan.
  • All cases showed normal nuchal translucency, normal second-trimester cardiac examinations, and normal birth outcomes.

Conclusions:

  • The observed anechoic fluid collection is likely a transient pericardial effusion.
  • This finding, when resolving by 12 weeks, is not associated with adverse fetal outcomes.
  • Early identification and follow-up are key for reassuring parents and clinicians.