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Isolated Fetal Ascites: Etiology and Prognosis – A 10-Year Experience from a Tertiary Referral Care Center in India
INTRODUCTION: Isolated fetal ascites is an uncommon finding, and it may be difficult to elucidate the underlying pathology. This is more so when there are limited resources to investigate the patient adequately. This study was undertaken to see the etiology of isolated fetal ascites and analyze the...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286023/ https://www.ncbi.nlm.nih.gov/pubmed/34321787 http://dx.doi.org/10.4103/jiaps.JIAPS_57_20 |
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author | Sablok, Aanchal Sharma, Akshatha Gupta, Rachna Thakur, Seema Kaul, Anita |
author_facet | Sablok, Aanchal Sharma, Akshatha Gupta, Rachna Thakur, Seema Kaul, Anita |
author_sort | Sablok, Aanchal |
collection | PubMed |
description | INTRODUCTION: Isolated fetal ascites is an uncommon finding, and it may be difficult to elucidate the underlying pathology. This is more so when there are limited resources to investigate the patient adequately. This study was undertaken to see the etiology of isolated fetal ascites and analyze the outcomes. MATERIALS AND METHODS: Twenty-three cases of isolated fetal ascites were retrospectively analyzed from December 2007 to June 2018. All cases were investigated with detailed ultrasound with other investigations as required. Postnatal data included gestational age at birth, mode of delivery, weight, and postnatal outcome. RESULTS: The mean age at diagnosis was 26 gestational weeks. Structural abnormalities without any underlying chromosomal or genetic cause were identified in 10/23 (43.4%) cases with the most common structural abnormality related to the gastrointestinal tract where ultrasound proved to the most useful tool. The overall good prognosis was seen in 13/23 (56.5%) cases. CONCLUSION: Appropriate perinatal care, timely referral and delivery at tertiary care setup, and timely surgical intervention are measures which can improve the outcome and survival in fetuses diagnosed with isolated fetal ascites. |
format | Online Article Text |
id | pubmed-8286023 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-82860232021-07-27 Isolated Fetal Ascites: Etiology and Prognosis – A 10-Year Experience from a Tertiary Referral Care Center in India Sablok, Aanchal Sharma, Akshatha Gupta, Rachna Thakur, Seema Kaul, Anita J Indian Assoc Pediatr Surg Original Article INTRODUCTION: Isolated fetal ascites is an uncommon finding, and it may be difficult to elucidate the underlying pathology. This is more so when there are limited resources to investigate the patient adequately. This study was undertaken to see the etiology of isolated fetal ascites and analyze the outcomes. MATERIALS AND METHODS: Twenty-three cases of isolated fetal ascites were retrospectively analyzed from December 2007 to June 2018. All cases were investigated with detailed ultrasound with other investigations as required. Postnatal data included gestational age at birth, mode of delivery, weight, and postnatal outcome. RESULTS: The mean age at diagnosis was 26 gestational weeks. Structural abnormalities without any underlying chromosomal or genetic cause were identified in 10/23 (43.4%) cases with the most common structural abnormality related to the gastrointestinal tract where ultrasound proved to the most useful tool. The overall good prognosis was seen in 13/23 (56.5%) cases. CONCLUSION: Appropriate perinatal care, timely referral and delivery at tertiary care setup, and timely surgical intervention are measures which can improve the outcome and survival in fetuses diagnosed with isolated fetal ascites. Wolters Kluwer - Medknow 2021 2021-05-17 /pmc/articles/PMC8286023/ /pubmed/34321787 http://dx.doi.org/10.4103/jiaps.JIAPS_57_20 Text en Copyright: © 2021 Journal of Indian Association of Pediatric Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Sablok, Aanchal Sharma, Akshatha Gupta, Rachna Thakur, Seema Kaul, Anita Isolated Fetal Ascites: Etiology and Prognosis – A 10-Year Experience from a Tertiary Referral Care Center in India |
title | Isolated Fetal Ascites: Etiology and Prognosis – A 10-Year Experience from a Tertiary Referral Care Center in India |
title_full | Isolated Fetal Ascites: Etiology and Prognosis – A 10-Year Experience from a Tertiary Referral Care Center in India |
title_fullStr | Isolated Fetal Ascites: Etiology and Prognosis – A 10-Year Experience from a Tertiary Referral Care Center in India |
title_full_unstemmed | Isolated Fetal Ascites: Etiology and Prognosis – A 10-Year Experience from a Tertiary Referral Care Center in India |
title_short | Isolated Fetal Ascites: Etiology and Prognosis – A 10-Year Experience from a Tertiary Referral Care Center in India |
title_sort | isolated fetal ascites: etiology and prognosis – a 10-year experience from a tertiary referral care center in india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286023/ https://www.ncbi.nlm.nih.gov/pubmed/34321787 http://dx.doi.org/10.4103/jiaps.JIAPS_57_20 |
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