Fetal abnormalities » Thorax
Bronchial atresia
Prevalence:
- 1 in 100,000 births.
Ultrasound diagnosis:
- Enlarged hyperechogenic lung with dilated bronchial tree resulting in mediastinal shift to the contralateral side.
- Presence of ascites (resulting from central venous compression) is a bad prognostic factor.
Associated abnormalities:
- The incidence of chromosomal abnormalities and genetic syndromes is not increased.
Investigations:
- Detailed ultrasound examination.
Follow up:
- Ultrasound scans every 4 weeks to monitor the evolution of the condition.
Delivery:
- Place: hospital with neonatal intensive care and pediatric surgery.
- Time: 38 weeks.
- Method: cesarean section because of need for immediate postnatal resuscitation and intubation.
Prognosis:
- High rate of perinatal mortality.
Recurrence:
- No increased risk of recurrence.