Bronchopulmonary Sequestration with Morbid Neonatal Pleural Effusion despite Successful Antenatal Treatment.

Détails

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Etat: Public
Version: Final published version
Licence: CC BY 4.0
ID Serval
serval:BIB_596E7F7EFAA6
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Titre
Bronchopulmonary Sequestration with Morbid Neonatal Pleural Effusion despite Successful Antenatal Treatment.
Périodique
Frontiers in pediatrics
Auteur(s)
Divjak N., Vasseur Maurer S., Giannoni E., Vial Y., de Buys Roessingh A., Wildhaber B.E.
ISSN
2296-2360 (Print)
ISSN-L
2296-2360
Statut éditorial
Publié
Date de publication
2017
Peer-reviewed
Oui
Volume
5
Pages
259
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: epublish
Résumé
Bronchopulmonary sequestration (BPS) may cause prenatal pleural effusion (PE) or even hydrops. This case describes a fetus presenting with severe PE, which prenatally waned completely under steroid treatment, yet surprisingly reappeared rapidly after birth, requiring early surgical intervention.
A male fetus was diagnosed with left BPS and severe PE. After three courses of prenatal steroid therapy for each recurrence of PE from 27 weeks of gestation, we observed a complete regression of PE prenatally. Yet, PE recurred 18 h after birth and persisted after repeated drainages and steroid therapy. Early total resection of the extralobar BPS was performed and led to complete recovery without recurrence of PE.
This report underlines that in cases of BPS presenting with prenatal PE needing fetal intervention, even if full regression of PE is observed before birth, there might be a need for surgical excision during the neonatal period.

Mots-clé
antenatal treatment, bronchopulmonary sequestration, neonatology, pediatric surgery, pleural effusion
Pubmed
Web of science
Open Access
Oui
Création de la notice
02/01/2018 16:29
Dernière modification de la notice
20/08/2019 14:12
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