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Macau Periodical Index (澳門期刊論文索引)
- Author
- Leong, Si Man；Chou, Io Hong
- Title
- Fetal bronchopulmonary sequestration with pleural effusion and intrauterine therapy
- Journal Name
- 澳門醫學雜誌
- Pub. Info
- 2024年1月31日, 第11卷第1期, pp. 96-102
- Link
- https://www.am.gov.mo/cn/journal/file/v11_1.pdf
- Keyword
- Bronchopulmonary sequestration；Pleural effusion；Congenital pulmonary airway malformation volume ratio；Intrauterine thoracentesis
- Abstract
- Bronchopulmonary sequestration (BPS) may cause prenatal pleural effusion (PE) or even hydrops. We report a case of fetal left bronchopulmonary sequestration diagnosed at gestational age (GA) of 22 weeks in Conde de Sao Januario General Hospital, Macau. Regular monitoring of the fetus by ultrasonography (USG) showed persistent pleural effusion that worsened progressively. The pleural effusion of the fetus had decreased only slightly when given steroid treatment in hospital. Thus, we held a multidisciplinary team meeting, with members including Obstetrics, Pediatrics and Cardiothoracic and Pulmonary Surgery, to discuss the treatment plan. The final decision was to perform intrauterine thoracentesis to treat the fetal pleural effusion [1]. Fetal intrauterine thoracentesis was subsequently done with complete regression of PE and without post-procedural complications. The fetal condition remained well after delivery. Paragraph Headings: 1. Background 2. Case presentation 2.1. Prenatal care history 2.2. Past history 3. Investigations 4. Differential diagnosis 4.1. Congenital pulmonary airway malformation(CPAM) 4.2. Congenital lobar overinflation (CLO)/congenital lobar emphysema (CLE) 4.3. Lung tumors 4.4. Neuroblastoma 4.5. Adrenal hemorrhage 5. Treatment 6. Outcome and follow up 7. Discussion