Intrathoracic shunt displacement with massive pleural effusion after successful shunt placement in a hydropic fetus with multilocular macrocystic congenital pulmonary airway malformation. Issue 2 (20th June 2020)

• Record Type: Journal Article
• Authors: Hara, Asako; Hidaka, Nobuhiro; Nitahara, Kenta; Sakai, Atsuhiko; Kido, Saki; Kato, Kiyoko
• Is Part Of: Journal of clinical ultrasound. Volume 49:Issue 2(2021)
• Page Start: 149
• Page End: 153
• Publication Date: 2020-06-20
• Subjects: congenital pulmonary airway malformation -- hydrops fetalis -- pleural effusion -- shunt displacement -- ultrasonography; Ultrasonics in medicine -- Periodicals; 616.07543
• DOI: 10.1002/jcu.22886
• Languages: English
• ISSNs: 0091-2751

Abstract

Abstract: We successfully performed shunting for a fetus with a multilocular macrocystic lung mass with hydrops at 22 weeks' gestation. Complete resolution of hydrops was achieved; however, at 35 weeks' gestation, the fetus developed acute massive pleural effusion. Fetal ultrasound examination revealed that one end of the shunting tube had migrated downward in the thoracic cavity, which led to fluid draining from the lung cyst. The baby was delivered at term and was discharged following neonatal intensive care management. Intrathoracic displacement of the shunt can occur, followed by massive pleural effusion due to drainage of cystic fluid.