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Isolated fetal ascites: five cases report

S G Horng1, A S Chao, P J Cheng

  • 1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.

Changgeng Yi Xue Za Zhi
|June 2, 1998
PubMed
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Nonimmune fetal ascites, a rare condition, often has a good outcome with prenatal diagnosis via ultrasound. Timely intervention and surveillance improve neonatal prognosis.

Area of Science:

  • Perinatology
  • Fetal Medicine
  • Neonatology

Background:

  • Isolated fetal ascites is a rare prenatal sonographic finding.
  • Outcomes improve with confirmed etiology and appropriate treatment.
  • Exclusion criteria included generalized hydrops, chromosomal, and viral causes.

Observation:

  • This report details 5 cases of nonimmune fetal ascites with diverse etiologies and management.
  • Four fetuses survived without significant neonatal complications.
  • Causes included chyloperitoneum, meconium peritonitis, and idiopathic origins.

Findings:

  • Spontaneous resolution occurred in three cases.
  • Prenatal paracentesis potentially mitigated neonatal respiratory distress.
  • One case of intestinal obstruction resulted in neonatal mortality due to necrotizing enterocolitis.

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Implications:

  • Ultrasound is crucial for prenatal diagnosis and surveillance of nonimmune fetal ascites.
  • Early diagnosis and management can lead to favorable fetal and neonatal outcomes.
  • Further research into specific etiologies and interventions is warranted.