Limb constriction as a complication of intra-uterine vesico-amniotic shunt: Fetoscopic release

Chan, Fung Yee, Borzi, Peter, Cincotta, Robert, Burke, John and Tudehope, David (2002) Limb constriction as a complication of intra-uterine vesico-amniotic shunt: Fetoscopic release. Fetal Diagnosis And Therapy, 17 5: 315-320. doi:10.1159/000063187


Author Chan, Fung Yee
Borzi, Peter
Cincotta, Robert
Burke, John
Tudehope, David
Title Limb constriction as a complication of intra-uterine vesico-amniotic shunt: Fetoscopic release
Journal name Fetal Diagnosis And Therapy   Check publisher's open access policy
ISSN 1015-3837
Publication date 2002-01-01
Year available 2002
Sub-type Article (original research)
DOI 10.1159/000063187
Open Access Status
Volume 17
Issue 5
Start page 315
End page 320
Total pages 6
Place of publication Basel ; Sydney
Publisher Karger
Language eng
Subject C1
321014 Obstetrics and Gynaecology
730116 Reproductive system and disorders
Abstract Complete fetal bladder outlet obstruction was first diagnosed in a fetus at 13.5 weeks. After sequential vesico-centesis had shown good renal function, a vesico-amniotic shunt was inserted at 17 weeks with a Rodeck catheter. The procedure was successful and amniotic fluid volume re-accumulated to normal levels. A detailed scan at 20 weeks showed that the distal free end of the catheter was wound round the left fetal thigh. As the fetus grew, there was progressive constriction of the fetal thigh by the catheter. By 29 weeks, Doppler blood flow changes to the left leg were apparent. Fetoscopic surgery was performed at 30 weeks to release the constriction. The catheter was divided successfully, but the divided end of the shunt subsequently retracted into the fetal abdomen, producing urinary ascites, bilateral hydroureter and hydronephrosis. The baby was delivered at 31.5 weeks in good condition. Endoscopic resection of anterior and posterior urethral valves was performed at 6 months of age. At 2 years, the child has normal renal function, growth parameters and developmental milestones. Mild indentation of the left thigh was still apparent, although there was no functional impairment. Copyright (C) 2002 S. Karger AG, Basel.
Keyword Obstetrics & Gynecology
Fetoscopy
Vesico-amniotic Shunt
Obstructive Uropathy
Intra-uterine Therapy
Prenatal Diagnosis
Complication
Limb Constriction
Fetus
Fetal
Gestation
Q-Index Code C1
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Wed, 15 Aug 2007, 04:51:31 EST