Complex Fetal Care Case: Amniotic Fluid Replacement in Severe Bladder Outlet Obstruction
| Autor: | David McKinney, Sammy Tabbah, Stefanie Riddle, Paul S. Kingma |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty Pericardial effusion Oligohydramnios 03 medical and health sciences Bladder outlet obstruction Pulmonary hypoplasia 0302 clinical medicine Pregnancy Prenatal Diagnosis 030225 pediatrics Humans Medicine Medical history 030212 general & internal medicine Prenatal vitamins Fetus medicine.diagnostic_test business.industry Obstetrics medicine.disease Urinary Bladder Neck Obstruction Fetal Diseases Urogenital Abnormalities Pediatrics Perinatology and Child Health Amniocentesis Gestation Female business |
| Zdroj: | NeoReviews. 21:e425-e430 |
| ISSN: | 1526-9906 |
| DOI: | 10.1542/neo.21-6-e425 |
| Popis: | * Abbreviations: CPAP: : continuous positive airway pressure MRI: : magnetic resonance imaging TLV: : total lung volume A 32-year-old gravida 4, para 2-1-0-3 woman was referred to the Cincinnati Fetal Center at 20 5/7 weeks’ gestation for a diagnosis of fetal bladder outlet obstruction and anhydramnios. Her obstetric history was significant for 3 cesarean deliveries. Her medical history was noncontributory, and her only medication was prenatal vitamins. Family history included a paternal male cousin with a “partially blocked urethra” as a teenager, and a paternal female cousin with an unknown kidney issue requiring hospitalization; however, the family was unable to provide further information. Prenatal laboratory testing was unremarkable except for rubella-nonimmune status. Fetal imaging at the referring obstetrician’s office at 19 1/7 weeks’ gestation showed anhydramnios, suspected bladder outlet obstruction, absent left kidney, echogenic right kidney, and a pericardial effusion. An amniocentesis had not been performed, and noninvasive prenatal genetic screening result was consistent with a male fetus with low risk for trisomy 13, 18, and 21, monosomy X, and triploidy. A multidisciplinary team reviewed her records and imaging at 21 6/7 weeks’ gestation, and proceeded with the following evaluations |
| Databáze: | OpenAIRE |
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