Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 1 , Pages 56-59, March 2006

Prenatal 2D Ultrasonic Diagnosis of Fetal Complete Atrioventricular Block and Bilateral Hydroceles with Occult Maternal SS-A

  • Chih Yao Yi
    • ,
  • Chen Cheng Wu

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr. Yi Cheng Wu, Department of Obstetrics and Gynecology, Veteran's General Hospital, 201, Section 2, Shihpai Road, Beitou District, Taipei City 112, Taiwan
    • ,
  • Man Li Yang

Department of Obstetrics and Gynecology, Taipei Veteran's General Hospital and National Yang Ming University, Taipei, Taiwan

Received 11 July 2005; received in revised form 13 July 2005; accepted 14 July 2005.

Summary 

Objective

We present a case of fetal complete atrioventricular block, diagnosed by the M mode of two-dimensional ultrasound, that was complicated with polyhydramnios and bilateral hydrocele

Case Report

The fetus was delivered at 38 weeks' gestation by caesarean section. Postpartum autoimmune survey disclosed positive anti-Ro antibodies (SS-A) for both the mother and the newborn. Severe neonatal bradycardia with complete atrioventricular block was identified.

Conclusion

Antenatal evaluation for a maternal history of autoimmune disease (especially systemic lupus erythematosus) and prevention of fetal bradycardia by reducing immune-mediated injuries on the cardiac conduction system are important.

Key Words:  anti-Ro antibody , bilateral hydrocele , fetal bradycardia , fetal complete atrioventricular block , maternal systemic lupus erythematosus , SLE

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PII: S1028-4559(09)60192-3

doi:10.1016/S1028-4559(09)60192-3

Taiwanese Journal of Obstetrics and Gynecology
Volume 45, Issue 1 , Pages 56-59, March 2006

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