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Hemothorax after fetal pleural effusion-thoracoamniotic shunting procedure due to transient myeloproliferative
Yuriko Iwahata1, Hideyuki Iwahata1, Junichi Hasegawa1
1Department Obstetrics and Gynecology, St. Marianna University School of Medicine, Kawasaki, Japan.
Objectives:
To present a case of fetal hemothorax after two times of thoracoamniotic shunting (TAS) performed to pleural effusion with hydrops fetalis, resulting in non-reassuring fetal status due to hemothorax.
Case Presentation:
This is a case of bilateral pleural effusion with hydrops fetalis and polyhydramnios at 32 weeks gestation, in which unilateral fetal TAS was performed twice, resulting in non-reassuring fetal status due to hemothorax. After delivery, the infant was diagnosed with trisomy 21 and transient myeloproliferative disorder (TMD) with disseminated intravascular coagulation and congenital systemic lymphangiopathy.
Conclusions:
In conclusion, since TAM case do not always show hemothrax, TAM is not inhibited but technical carefulness should be necessary.
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