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Witlox RSGM et al. – The authros present the first case of fetal hydrops and a large hydrothorax due to BPS treated successfully with one ultrasound–guided thin needle insertion, through which both laser coagulation of the feeding artery and drainage of the hydrothorax were performed. Following the procedure the hydrothorax and hydrops gradually disappeared and the BPS diminished in size. A healthy neonate was delivered uneventfully at term.

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