DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20161341

Recurrent non immune hydrops fetalis: a case report

Shipra Nigam, Kundavi Shankar, Thankam Rana Varma

Abstract


Recurrent non-immune fetal hydrops (NIHF) is a known but rare disease. We report a case of recurrent fetal hydrops in a multipara with no significant surgical or medical history. She presented for a preconceptional counselling with a background history of having two previous pregnancies affected by hydrops. Both the affected pregnancies resulted in mid trimester pregnancy termination. Detailed evaluation of the couple was done in our hospital before planning the third pregnancy. No obvious cause of recurrent hydrops was found. She conceived spontaneously and finally delivered a healthy baby. This case highlights the fact that thorough investigation is essential in case of hydrops fetalis so that further pregnancies are not affected.

Keywords


Recurrent non-immune hydrops, Cordocentesis, Precoceptional counselling, Genetic counselling

Full Text:

PDF

References


Im SS, Rizos N, Joutsi P, Shime J, Benzie RJ. Nonimmunologic hydrops fetalis. Am J Obstet Gynecol. 1984;148:566.

Lin SM, Wang CH, Zhu XY, Li SL, Lin SM, Fang Q. Clinical study on 156 cases with hydrops fetalis. Zhonghua Fu Chan KeZaZhi. 2011;46(12):905-10.

Bellini C, Hennekam RC. Non-immune hydropsfetalis: a short review of etiology and pathophysiology. Am J Med Genet A. 2012;158A(3):597-605.

Gort L, Granell MR, Fernandez G, Carreto P, Sanchez A, Coll MJ. Fast protocol for the diagnosis of lysosomal diseases in nonimmune hydrops fetalis. Prenat Diagn. 2012;32:1139-42.

L’Hermine-Coulomb A, Beuzen F, Bouvier R, Rolland MO, Froissart R, Menez F, et al. Fetal type IV glycogen storage disease: clinical, enzymatic, and genetic data of a pure muscular form with variable and early antenatal manifestations in the same family. Am J Med Genet A. 2005;139A:118-22.




Bookmark and Share