Unveiling the elusive: a case of missed hydrops fetalis
DOI:
https://doi.org/10.18203/2320-6012.ijrms20241932Keywords:
Hydrops fetalis, Fetal ultrasound, Diagnostic challenges, Prenatal care, Multidisciplinary management, Neonatal outcomesAbstract
Hydrops fetalis, characterized by abnormal fluid accumulation in fetal tissues, poses diagnostic challenges often leading to adverse outcomes. We present a case of a 26-year-old multigravida diagnosed with hydrops fetalis at 26 weeks, despite unremarkable antenatal visits. Detailed ultrasound revealed characteristic signs, prompting urgent intervention. Despite aggressive measures, the neonate succumbed shortly after birth. This case highlights the complexities of diagnosing and managing hydrops fetalis, emphasizing the need for heightened clinical awareness. Diagnostic steps, including fetal ultrasound and genetic testing, are pivotal for confirming diagnosis and guiding management, underlining the critical role of comprehensive prenatal care in improving outcomes.
Metrics
References
Bellini C, Donarini G, Paladini D, Calevo MG, Bellini T, Ramenghi LA, et al. Etiology of non-immune hydrops fetalis: An update. Am J Med Genet A. 2015;167A(5):1082-8.
Meng D, Li Q, Hu X, Wang L, Tan S, Su J, et al. Etiology and Outcome of non-immune Hydrops Fetalis in Southern China: report of 1004 cases. Sci Rep. 2019;9(1):10726.
Swearingen C, Colvin ZA, Leuthner SR. Nonimmune Hydrops Fetalis. Clin Perinatol. 2020;47(1):105-21.
Fatušic Z. Nonimmune hydrops fetalis. Donald School Journal of Ultrasound in Obstetrics and Gynecology. 2007;1(1):105-10.
Vanaparthy R, Mahdy H. Hydrops Fetalis. [Updated 2022 Sep 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024. Available at: https://www.ncbi.nlm.nih.gov/books/ NBK563214/. Accessed on 20 February 2024
Brock WW, Bradshaw WT. Congenital Chylothorax: A Unique Presentation of Nonimmune Hydrops Fetalis in a Preterm Infant. Adv Neonatal Care. 2016;16(2):114-23.
Jauniaux E. Diagnosis and management of early non-immune hydrops fetalis. Prenat Diagn. 1997;17(13):1261-8.
Sekar R. Hydrops fetalis. InComplications of Pregnancy 2019 Jun 12. London, UK: IntechOpen; 2019.
Jones DC. Nonimmune fetal hydrops: diagnosis and obstetrical management. Semin Perinatol. 1995;19(6):447-61.
Younge T, Ottolini KM, Al-Kouatly HB, Berger SI. Hydrops fetalis: Incidence, Etiologies, Management Strategies, and Outcomes. Research and Reports in Neonatology. 2023;13:81-92
Mastromoro G, Guadagnolo D, Khaleghi Hashemian N, Marchionni E, Traversa A, Pizzuti A. Molecular Approaches in Fetal Malformations, Dynamic Anomalies and Soft Markers: Diagnostic Rates and Challenges-Systematic Review of the Literature and Meta-Analysis. Diagnostics (Basel). 2022;12(3):575.
Downloads
Published
How to Cite
Issue
Section
