[Technical realization, indications and results of the use of a lacrimal bicanalicular catheter].
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Biomedical subjects
Publications and source records attributed to F Deschamps.
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We report a successful treatment of a B19 parvovirus-induced fetal hydrops diagnosed at 16 weeks of gestation. This disease could be corrected by means of a unique intraperitoneal blood transfusion performed at 18 weeks, once diagnosis was established. The delivery occurred at 36 weeks, leading to the birth of a healthy baby. This case suggests that transfusion should be attempted, as the spontaneous fetal recovery remains uncertain and shows that intraperitoneal blood transfusion is an effective therapeutic option of the B19 parvovirus-induced anemia, in the absence of a viral myocarditis.
Hemangiolymphangioma is a malformation of both lymphatic and blood vessels. We present a case of fetal abdominal hemolymphangioma diagnosed by ultrasound at 27 weeks of gestation. The extensive fetal involvement, and the diagnosis before fetal viability led us to propose medical termination of pregnancy. This represents the second reported case of prenatal diagnosis of this malformation.
We report a case of spontaneous reversal in utero of hydrops fetalis caused by parvovirus B19 maternal-fetal infection. The route leading to fetal hydrops is not fully understood. Severe anemia with hypoxemia and viral fetal myocarditis have been incriminated. Then the main issue is fetal death or spontaneous abortion. Cases of spontaneous reversal of hydrops fetalis are unusual. Fetal regenerative anemia is a good prognostic factor and emphasizes the place of conservative management.
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The fetus and his environment which had remained, for so long, inaccessible to our exploratory techniques, is becoming every day, more and more accessible because of the various examinations now available. The biopsy of trophoblast which, after 10 weeks of amenorrhea, enable to obtain embryonic material and the tap of the umbilical chord under sonogram, permitting to obtain pure fetal blood after 18 weeks of amenorrhea, are an example of the new techniques which have completely modified the classical data of prenatal diagnosis. Now, the knowledge of parameters such as fetal haemostasis, immune status, metabolism and fetal karyotype, enabled the rapid development of fetal studies and already leads up to therapeutic procedures in utero.
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