Hydrops fetalis

Classification according to ICD-10
P56	Hydrops fetalis due to hemolytic disease
P83.2	Hydrops fetalis, not due to hemolytic disease
ICD-10 online (WHO version 2019)

As hydrops fetalis (Syn. Hydrops congenitus universalis ) in which is prenatal diagnosis a generalized fluid accumulation designated extending over large parts of the body of an unborn child has spread and in serous body cavities ( pleural , peritoneal cavity , pericardium is) as well as in the soft tissues. In the ultrasound , a pronounced edema is particularly visible, through which the child's skin is clearly lifted from the body.

A distinction is made between hydrops fetalis with and without isoimmunization (immunological and nonimmunological hydrops fetalis).

The presence of hydrops fetalis is considered a sonographic soft marker , which is an indication of a chromosome peculiarity , an organic malformation or a disease in the child.

It occurs more than average in:

• fetal anemia ( anemia in the unborn child), often due to a rhesus incompatibility or a parvovirus B19 infection ( rubella ) in the expectant mother , the full picture here is mostly characterized by ascites , pleural effusions and polyhydramnios . A spontaneous miscarriage can occur.
• Heart defects , especially coarctation of the aorta (narrowing of the transition between the aortic arch and thoracic aorta )
• Malformations of the lungs
• Twin pregnancies as an expression of a fetofetal transfusion syndrome
• Chylothorax
• Turner Syndrome (Monosomy X)
• Noonan syndrome (Turner-like syndrome)
• Edwards syndrome (trisomy 18)
• Multiple pterygium syndrome
• Fryns Syndrome
• less often Down syndrome (trisomy 21)
• various metabolic diseases
• Denys-Drash Syndrome
• Malformations of the urogenital tract
• Mevalonate kinase defect (very rare)

See also

Hemolytic disease of the newborn - nuchal translucency - hygroma colli - Dorsonuchales edema - hygroma dura mater - hygroma praepatellare - Hygromatosis

Web links

• Mevalonate kinase defect: an extremely rare differential diagnosis of hydrops fetalis doi : 10.1055 / s-2005-871506 (currently unavailable)
• Hydrops fetalis - On the pathology of a special form of dropsy with special consideration of case studies and clinical findings (2001)

Individual evidence

1. ↑ Peter Reuter: Springer Lexicon Medicine. Springer, Berlin a. a. 2004, ISBN 3-540-20412-1 , p. 961.

This article is about a health issue. It is not used for self-diagnosis and does not replace a diagnosis by a doctor. Please note the information on health issues !