UTERINE-PERITONEAL AMNIOTIC FLUID LEAKAGE

AN UNUSUAL COMPLICATION OF INTRAUTERINE SHUNTING

Abstract

Bilateral pleuroamniotic shunting was performed at 33 weeks' gestation in a fetus with bilateral hydrothorax, hydrops, and gross polyhydramnios. The procedure was successful but acute amniotic fluid leakage into the maternal peritoneal cavity occurred soon after.this produced marked maternal discomfort and trasient oligohydramnios, with consequent fetal distress.expectant management was adopted in view of fetal lung immaturity.resolution of matermal ascites occurred within 24 hours and the fetal heart rate normalized as amniotic fluid reaccumulated the pregnancy progressed uneventfully thereafter.