Intrauterine transfusion for the treatment of Hydrops fetalis due to anemia. Case report and literature review

Revista de la Facultad de Ciencias de la Salud de la Universidad del Cauca

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Title Intrauterine transfusion for the treatment of Hydrops fetalis due to anemia. Case report and literature review
Transfusión intrauterina para el tratamiento del Hidrops fetal causado por anemia: Reporte de caso y revisión de la literatura
Creator Hincapié-Porras, Cristian
Rojas-Arias, José Luis
Acuña-Osorio, Edgar Mariano
Avellaneda-Salamanca , Andrea Catalina
Pinto-Quiñonez, Martha Lucia
Molina-Giraldo, Saulo
Subject non-immune fetal hydrops, middle cerebral artery, blood transfusion intrauterine
arteria cerebral media, Hidropesía Fetal, Transfusión de Sangre Intrauterina
Description OBJECTIVE
Report a case of non-immune fetal hydrops caused by anemia. Also perform a review of the literature on hydrops-associated fetal anemia.
We present the case of a pregnant woman of 30 years old G1P0 with pregnancy of 22 weeks. In ultrasound evaluation, a syndromatic diagnosis of non-immune fetal hydrops caused by anemia was established. Fetal therapy with multiple transfusions was performed, achieving complete resolution of the symptoms and full-term birth. A literature search was performed in PUBMED, MEDLINE, EMBASE, Cochrane Library, including the Mesh terms: (non-immune fetal hydrops, middle cerebral artery, blood transfusion intrauterine).
Product of the non-systematic review with the combination of the terms Mesh mentioned above and with the time filter, 37 articles were selected for the construction of this report. Review articles, protocols, clinical trials and classic articles related to the topic were included.
Non-immune fetal hydrops caused by fetal anemia has high mortality without adequate intervention. The knowledge of this pathology allows a timely diagnosis, a complete approach to the binomial and adequately select the fetuses candidates for in utero therapy, impacting favorably, reducing morbidity and mortality. The management of these patients should be carried out in experienced maternal-fetal units
Reportar un caso de hidrops fetal no inmune  causado por anemia. Además realizar una revisión de la literatura sobre anemia fetal asociada a hidrops.
Se presenta el caso de una gestante de 30 años G1P0, embarazo de 22 semanas. En valoración ecográfica se estableció diagnóstico sindromático de hidrops fetal no inmune causado por anemia. Requirio terapia fetal con múltiples transfusiones logrando resolución cuadro y nacimiento a término. Se realizó una búsqueda de la literatura en PUBMED, MEDLINE, EMBASE, Cochrane Library, incluyendo los  términos Mesh: (non-immune fetal hydrops,  middle cerebral artery,  blood transfusion intrauterine).
Producto de la revisión no sistemática con la combinación de los términos Mesh anteriormente mencionados, se seleccionaron 37 artículos para la construcción del presente reporte. Se incluyeron artículos de revisión, protocolos, ensayos clínicos y artículos clásicos relacionados con el tema.
El hidrops fetal no inmune causado por anemia fetal presenta alta mortalidad sin intervención adecuada. El conocimiento de esta patología permite realizar un diagnóstico oportuno, realizar un abordaje completo del binomio y seleccionar de manera adecuada los fetos candidatos a terapia in útero, impactando favorablemente, disminuyendo la morbimortalidad. El manejo de estas pacientes debe ser realizado en unidades materno-fetales con experiencia.
Publisher Universidad del Cauca
Date 2020-07-01
Type info:eu-repo/semantics/article
Format application/pdf
Source Revista de la Facultad de Ciencias de la Salud Universidad del Cauca; Vol. 22 No. 2 (2020): Colecistectomía laparoscópica; 50-59
Revista de la Facultad de Ciencias de la Salud Universidad del Cauca; Vol. 22 Núm. 2 (2020): Colecistectomía laparoscópica; 50-59
Language spa
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