Abdomino‐amniotic shunting in isolated fetal ascites with polyhydramnios

A 28-year old Chinese gravida 1 para 0 woman presented with isolated fetal ascites at 28 weeks of gestation. The fundal height was 28 cm. Ultrasound scan revealed normal fetal parxmeters and liquor volume with four quadrant index of 18.2 cm. There was no other abnormality detected, particularly in the cardiac, urinary and gastrointestinal systems. There was also no skin edema. Investigation findings included blood group 0, Rh positive, normal complete blood picture, negative VDRL, negativc antibody for parvovirus, cytomegalovirus and toxoplasniosis. The patient refused funipuncture and amniocentesis showed normal female fetal karyotype. At 33 weeks, the patient developed symptomatic polyhydramnios with difficulty in breathing. The fundal height was 39.5 cni. Ultrasound scan showed

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