The Significance of Ultrasound Prenatal Diagnosis in Optimal Therapy of the Newborn Based on a Case of Pulmonary Sequestrati

Abstract: Pulmonary sequestration is a rare congenital lesion in which nonfunctional lung tissue lacks connection with the tracheobronchial tree and receives systemic blood supply. It can be accompanied by free fluid in the pleura, lung hypoplasia, circulatory insufficiency, polyhydramnios or even hydrops fetalis. For this reason early and accurate diagnosis is required. We present a case of a fetus which developed hydrothorax in the 31st week of gestation. Ultrasonographic examination revealed a hyperechogenic mass in his chest that was classified as pulmonary sequestration. Thoracocentesis was performed twice (in 33th and 35th week of gestation) and preterm labor took place, due to preterm premature rupture of membranes, in 35+5 week of pregnancy. The newborn presented respiratory distress and was admitted to the Neonatal Intensive Care Unit (NICU). The postnatal diagnosis of the lesion was difficult and it took several days to confirm the prenatal finding. We emphasize the importance of cooperation between obstetricians and neonatologists, that consist of complete visualization of the fetal anatomy, proper classification of the anomalies and successful final management not only during pregnancy but also after the delivery.

Authors:

Greta Sibrecht, Monika Sierzputowska-Pieczara PhD, Professor Mariola Ropacka-Lesiak MD, PhD

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