Division of Neonatology, Department of Pediatrics, Leiden University Medical Centre, PO Box 9600, Leiden 2300 RC, The Netherlands.
Ultrasound Obstet Gynecol. 2009 Sep;34(3):355-7. doi: 10.1002/uog.7316.
Bronchopulmonary sequestration (BPS) is sometimes associated with hydrothorax and hydrops in utero. In the absence of fetal hydrops, perinatal outcome is favorable and justifies expectant management. In the presence of fetal hydrops, perinatal outcome is reported to be extremely poor and intervention should be considered. Therapeutic options include open fetal surgery, minimally invasive coagulation of the blood supply and thoracoamniotic shunting. We present the first case of fetal hydrops and a large hydrothorax due to BPS treated successfully with one ultrasound-guided thin needle insertion, through which both laser coagulation of the feeding artery and drainage of the hydrothorax were performed. Following the procedure the hydrothorax and hydrops gradually disappeared and the BPS diminished in size. A healthy neonate was delivered uneventfully at term. We describe the case and discuss the different therapeutic options.
支气管肺隔离症（BPS）有时与胎儿期胸腔积液和水肿相关。在没有胎儿水肿的情况下，围产结局是有利的，可采用期待治疗。如果存在胎儿水肿，围产结局据报道极差，应考虑干预。治疗选择包括开放性胎儿手术、血液供应微创凝固和胸羊水分流。我们报告首例因 BPS 导致的胎儿水肿和大量胸腔积液，通过超声引导下的一次细针插入成功治疗，在此过程中对供血动脉进行激光凝固和胸腔积液引流。治疗后，胸腔积液和水肿逐渐消失，BPS 体积缩小。足月时，无并发症地分娩了一名健康新生儿。我们描述了该病例并讨论了不同的治疗选择。
