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Introduction: Hydrops fetalis is a severe fetal condition characterized by abnormal accumulation of fluid in multiple fetal compartments, including the skin, pleural, pericardial, and abdominal cavities. Aims and Objectives: This case report aims to present a detailed clinical analysis of a fetus diagnosed with hydrops fetalis, the diagnostic approach, management, and outcome. contribute insights into early detection, potential etiologies, and effective intervention methods for this life-threatening condition. Materials and Methods: The case involved a single fetus at 24 weeks gestation, referred due to suspected hydrops fetalis identified on routine ultrasound. Comprehensive evaluations, including fetal ultrasound, echocardiography, and genetic testing, were performed to determine the underlying cause. Maternal history and serological tests for infections were reviewed to exclude immune-related factors. Results: The ultrasound revealed pleural effusion, ascites, and skin edema consistent with hydrops fetalis. Genetic testing identified a chromosomal abnormality, and no infectious agents were found. Management included careful monitoring and multidisciplinary counseling on the prognosis and options. Conclusions: This case highlights the importance of a systematic diagnostic approach to determine the etiology of hydrops fetalis. Accurate prenatal diagnosis and early detection of causative factors can aid in patient counseling and management decisions. Despite advances in fetal care, the prognosis of hydrops fetalis remains guarded, underscoring the need for continued research into targeted interventions.