Abstract
Fetal ascites is an uncommon abnormality usually reported in relation to non- immunological causes. The prospect for fetal and neonatal mortality is high, particularly when the ascites develops before 24 weeks of gestation. The diminution of severe fetal ascites without intrauterine management, especially with an uncomplicated neonatal outcome, is unusual. We report a case of isolated fetal ascites detected at 20 weeks' gestation. All investigations carried out were normal. Consecutive ultrasound examination showed ascites at 20 weeks' gestation. A follow-up ultrasound examination at 6 months of age revealed complete recovery from the ascites. Spontaneous resolution of fetal ascites, with a good prognosis, can occur in cases with an idiopathic aetiology.
Highlights
Fetal ascites is an uncommon abnormality usually reported in relation to non- immunological causes
Isolated fetal ascites is defined as “ascites not associated with fetal hydrops”
Intestinal obstruction resulting in meconium peritonitis is considered to be one of the commonest gastrointestinal disorders associated with isolated ascites.[3,6]
Summary
نهال الريامي، مازن أبوعنزة، تميمة الدغي شي، زينب البلو شي، سهام ال سناني،محمد عبداللطيف. We report a case of isolated fetal ascites detected at 20 weeks' gestation. After the recognition of ascites in antenatal ultrasound, it is essential to establish whether this is an isolated fetal ascites or associated with hydrops.[1] Isolated fetal ascites is defined as “ascites not associated with fetal hydrops”.2. It is an uncommon condition and mainly occurs as an early manifestation of hydrops fetalis. Around 20% of cases occur as a result of gastrointestinal tract disorders.[1,3,4,5] Intestinal obstruction resulting in meconium peritonitis is considered to be one of the commonest gastrointestinal disorders associated with isolated ascites.[3,6]
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