Hydrops fetalis

As hydrops fetalis (syn. hydrops congenitus universalis ) a generalized fluid accumulation is referred to in the prenatal diagnosis, which has spread over much of the body of an unborn child and is also in serous body cavities ( pleural, peritoneal, pericardial ) and in the soft tissues. In ultrasound a pronounced edema is especially visible through the skin of the child is clearly lifted from the body.

Differences are of hydrops fetalis with and without isoimmunization ( immunological and nichtimmunologischer hydrops fetalis ).

The presence of fetal hydrops is considered sonographic soft markers, which is an indication of a chromosome specificity, an organic malformation or disease in the child.

It often than the average occurs in:

  • Fetal anemia ( the unborn child ), often due to Rh incompatibility or parvovirus B19 infection ( fifth disease ) of the expectant mother, the full image here is mostly characterized by ascites, pleural effusion and polyhydramnios. There may be a spontaneous miscarriage.
  • Heart disease, especially aortic coarctation (narrowing of the transition between the aortic arch and thoracic aorta)
  • Abnormalities of the lungs
  • Twin pregnancies as an expression of fetofetalen transfusion syndrome
  • Chylothorax
  • Turner syndrome ( monosomy X)
  • Noonan syndrome ( Turner -like syndrome)
  • Multiple pterygium syndrome
  • Fryns syndrome
  • Rare Down syndrome ( trisomy 21)
  • Various metabolic diseases
  • Denys - Drash syndrome
  • Malformations of the urogenital tract
  • Mevalonate kinase deficiency (very rare)
Pericardium Congenital disorder Coarctation of the aorta Edwards syndrome Denys–Drash syndrome Cystic hygroma
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