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Nonimmune hydrops fetalis, hydramnios, microcephaly, and intracranial meningeal hemangioendothelioma.

Necropsy findings in a male stillborn at 31 weeks gestational age included nonimmune hydrops, hydramnios, and microcephaly secondary to a hemangioendotheliomatous malformation at the tentorium. The vascular lesion was composed by large and small tortuous endothelium-lined vessels and leiomuscular septa. The lesion is thought to be related to the more frequent arteriovenous malformation of the vein of Galen.

Adult↗

Hydramnios causing uterine rupture in a mare.

An 18-year-old mare, 285 days pregnant, was evaluated for apparent abdominal pain of 8 hours' duration. A large volume of sanguinous fluid was obtained on abdominocentesis, and digital vaginal examination revealed a dilated cervix and blood in the uterus. Abdominal palpation per rectum revealed the uterus to be large and distended with fluid. Ultrasonography revealed a dead fetus on the floor of the cranial portion of the abdomen. The mare was euthanatized, and necropsy confirmed that the uterus had ruptured, and that the fetus, within its chorioallantois, was in the abdomen. The amniotic sac contained approximately 96 L of amniotic fluid. Torsion of the amniotic sac separated the fetus from the fluid-filled compartment. Hydramnios was diagnosed on the basis of the excessive amniotic fluid and was believed to be the cause of the uterine rupture.

Animals↗

[Acute hydramnios and twin pregnancy. Apropos of 5 cases].

Five cases of acute hydramnios occurring in twin pregnancies are reported here. The obstetrical management is discussed in the light of our results and the facts given in the literature. It would seem that abdominal route amniocentesis drawing off quantities of liquor is a simple manoeuvre which can be repeated and work so that the inexorable progress to late abortion or premature labour is avoided.

Acute Disease↗

Neonatal myotonic dystrophy as a cause of hydramnios and neonatal death. A case report and literature review.

A woman had three consecutive pregnancies complicated by hydramnios and early neonatal death. The identical prenatal and neonatal course, family history and, ultimately, maternal diagnosis supported the diagnosis of recurrent severe neonatal myotonic dystrophy. Ultrasonographic observation of the last fetus affected suggested and predicted the neonatal features of the disease.

Adult↗

[Subacute pre-eclampsia and hydramnios as manifestation of fetal triploidy. In utero diagnosis in the 28th week].

The authors report a case of triploidy that was diagnosed in utero by amniocentesis at the 28th week of amenorrhoea which presented with a classical picture of sub-acute hydramnios and pre-eclampsia and a dermoid cyst in the pelvis below the uterus. This case has given us a chance of showing the clinical evolution that led us to carry out amniocentesis and make the diagnosis of triploidy. A review of the literature gives us the chance of showing the incidence of triploidy and its genetic origin and the characteristics that this chromosome abnormality produces. The value of the study is to show the differences that exist between this condition and partial molar triploidy demonstrating the anatomo-pathological, genetic and developmental changes that can be recognized. The conclusion that this article reaches could be that the term "triploid embryonic mole" should be abandoned because it brings under one heading two quite different pictures.

Amniocentesis↗

[Anencephaly associated with hydramnios. A case diagnosed late by ultrasonographic examination in the third trimester of pregnancy].

The authors report a case of anencephaly seen in the maternity unit of the Yaounde Teaching Hospital Group (Cameroon). This case of fetal malformation complicated by acute hydramnios was diagnosed late by ultrasonography during the 37th week after the LMP. Ultrasonographic findings as well as clinical management are described. Referring to the literature, the authors stress the need to seek fetal malformations in hydramniotic pregnancies. Only routine ultrasonography during pregnancy enables the early discovery of fetal malformations, this forming the basis of management decisions.

Adult↗