The Case of Nonimmune Hydrops Fetalis Due to Simple Lung Cyts

Year 2014, Volume: 19 Issue: 1, 49 - 52, 29.07.2014

Levent Korkmaz Hülya Akgün Osman Baştuğ Hülya Halis Mehmet Adnan Öztürk

Abstract

Nonimmune hydrops fetalis (NIHF) is a serious fetal condition in which abnormal fluid accumulates in at least two different fetal compartments, and in which circulating antibodies against fetal red-cell antigens are absent in the mother. NIHF is mostly associated with chromosomal disorders, cardiac malformations, arrhythmias, fetal anaemia and TORCH infections. The incidence of NIHF is approximately 1:2500 to 1:3500 births, although in some series the incidence is as high as approximately 1 in 200 pregnancies. Still, the prognosis in NIHF is poor, with perinatal mortality rates that range from 50% to more than 90% in several series. In this case, we desired to emphasize the importance of revising prognostic factors and to draw attention to early intrauterin intervention in NIHF due to simple lung cyst.

Keywords

Simple lung cyst, Nonimmune hydrops fetalis, Prognosis, Intrauterin intervention.

Basit Akciğer Kistine Bağlı Non-İmmün Hidrops Fetalis Olgusu

Abstract

Non-immun hidrops fetalis (NİHF), annede fetal eritrositlere karşı dolaşan antikorların olmadığı ve en az iki fetal kompartmanda anormal sıvı toplanmasının olduğu ciddi fetal durumdur. NİHF etiyolojisinde kromozom anomalileri, kardiak yapısal malformasyonlar, aritmiler, fetal anemi ve TORCH infeksiyonlarının sık görüldüğü mortalitesi yüksek bir tablodur. NİHF insidansı her ne kadar bazı serilerde hamilelikte yaklaşık 1/200 kadar yüksek olsa da doğumdaki insidansı yaklaşık olarak 1:2500-1:3500'dir. NİHF'de prognoz, çeşitli serilerde %50-90'a kadar olan perinatal mortalite oranlarıyla halen kötüdür. Biz bu olguda, basit akciğer kistine bağlı NİHF'de erken intrauterin müdehaleye dikkat çekmek ve prognostik faktörlerin tekrar gözden geçirilmesinin gerekliliğini vurgulamak istedik.

Keywords

Basit akciğer kisti, Non-immün hidrops fetalis, Prognoz, Intrauterin müdahale.

References

• Bellini C, Hennekam RCM, Fulcheri E, et al. Etiology of nonimmune hydrops fetalis: a systematic review. Am J Med Genet 2009; 149: 844-51.
• Mahony BS, Filly RA, Callen PW, Chinn DH, Golbus MS. Severe nonimmune hydrops fetalis: sonographic evaluation. Radiology 1984; 151: 757-61.
• Gest AL, Hansen TN, Moise AA, Hartley CJ. Atrial tachycardia causes hydrops in fetal lambs. Am J Physiol 1990; 258: 1159
• Wolf RB, Moore TR. Amniotic fluid and nonimmune hydrops fetalis. In: Martin RJ, Fanaroff AA, Walsh MC (eds). Fanaroff and Martin’s Neonatal-Perinatal Medicine Diseases of the Fetus and Infant (9th ed) Vol 1. St.Louis; Elsevier Mosby, 2011: 773
• Janet H. Murphy. Nonimmun hydrops fetalis: NeoReviews 2004; 5; 5-15.
• Bachmaier N, Fusch C, Stenger RD, Grabow D, Mentel R, Warzok R. Nonimmune hydrops fetalis due to enterovirus infection. Eur J Obstet Gynecol Reprod Biol 2009; 142: 83-4.
• Rescorla FJ, West KW, Vane DW, et al. Pulmonary hypertension in neonatal cystic lung disease. J Pediatr Surg 1990; 25: 1054
• Ribbet ME, Copin MC, Gosselin BH. Bronchogenic cysts of the lung. Ann Thor Surg 1996; 61: 1636-40.
• Abrams ME, Meredith KS, Kinnard P, Clark RH. Hydrops fetalis: a retrospective reviews of cases reported to a large national database and identification of risk factors associated with death. Pediatrics 2007; 120: 84-9.
• Özkan H, Özer E. Hydrops fetalis. J Med Sci 2004; 7: 754-62.
• Bukowski R, Saade GR. Hydrops fetalis. Clin Perinatol 2000; 27: 1007-31.
• Braun T, Brauer M, Fuchs I, et al. Mirror syndrome: a systematic review of fetal associated conditions, maternal presentation and perinatal outcome. Fetal Diagn Ther 2010; 27: 191-203.
• Fukushima K, Morokuma S, Fujita Y, et al. Short-term and long-term outcome s of 214 cases of non-immüne hydrops fetalis. Early Hum Dev 2011; 87: 571-5.
• Picone O, Benachi A, Mandelbrot L, Ruano R, Dumez Y, Dommergues M. Thoracoamniotic shunting for fetal pleural effusions with hydrops. Am J Obstet Gynecol 2004; 191: 2047-50.