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

• Main Authors: Chih Yao Yi, Chen Cheng Wu, Man Li Yang
• Format: Article
• Language: English
• Published: Elsevier 2006-03-01
• Series: Taiwanese Journal of Obstetrics & Gynecology
• Subjects: anti-Ro antibody; bilateral hydrocele; fetal bradycardia; fetal complete atrioventricular block; maternal systemic lupus erythematosus; SLE
• Online Access: http://www.sciencedirect.com/science/article/pii/S1028455909601923

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.