Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis
Background. Fetal anemia results from several conditions; however intrauterine transfusion (IUT) remains the treatment for severe cases. The complications of this procedure are rare and yet can result in preterm delivery or fetal death. Case. 31 y/o G3P2002 with Rh alloimmunization underwent IUT fro...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/5952326 |
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| author | Roopali V. Donepudi Kenneth J. Moise |
| author_facet | Roopali V. Donepudi Kenneth J. Moise |
| author_sort | Roopali V. Donepudi |
| collection | DOAJ |
| description | Background. Fetal anemia results from several conditions; however intrauterine transfusion (IUT) remains the treatment for severe cases. The complications of this procedure are rare and yet can result in preterm delivery or fetal death. Case. 31 y/o G3P2002 with Rh alloimmunization underwent IUT from 19 to 35 weeks. Umbilical artery thrombosis was noted after her 5th IUT. Further transfusions were performed without any complications and she delivered a full term male infant with APGARS of 8 and 9 at 1 and 5 minutes, respectively. Conclusion. The complication of umbilical artery thrombosis is unusual and the optimal management is unclear. We report such a case and propose that the presence of Hyrtl’s anastomosis near the placental cord insertion may explain the reassuring fetal status throughout the pregnancy. |
| format | Article |
| id | doaj-art-51f1503ecf4b429c84b9cbeecdf51d79 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-51f1503ecf4b429c84b9cbeecdf51d792025-02-03T01:31:25ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/59523265952326Intrauterine Transfusion Complicated by Umbilical Artery ThrombosisRoopali V. Donepudi0Kenneth J. Moise1Department of Obstetrics, Gynecology and Reproductive Medicine, Division of Maternal-Fetal Medicine, UT Health-School of Medicine at Houston, The Fetal Center, Children’s Memorial Hermann Hospital, Houston, TX, USADepartment of Obstetrics, Gynecology and Reproductive Medicine, Division of Maternal-Fetal Medicine, UT Health-School of Medicine at Houston, The Fetal Center, Children’s Memorial Hermann Hospital, Houston, TX, USABackground. Fetal anemia results from several conditions; however intrauterine transfusion (IUT) remains the treatment for severe cases. The complications of this procedure are rare and yet can result in preterm delivery or fetal death. Case. 31 y/o G3P2002 with Rh alloimmunization underwent IUT from 19 to 35 weeks. Umbilical artery thrombosis was noted after her 5th IUT. Further transfusions were performed without any complications and she delivered a full term male infant with APGARS of 8 and 9 at 1 and 5 minutes, respectively. Conclusion. The complication of umbilical artery thrombosis is unusual and the optimal management is unclear. We report such a case and propose that the presence of Hyrtl’s anastomosis near the placental cord insertion may explain the reassuring fetal status throughout the pregnancy.http://dx.doi.org/10.1155/2019/5952326 |
| spellingShingle | Roopali V. Donepudi Kenneth J. Moise Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis Case Reports in Obstetrics and Gynecology |
| title | Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis |
| title_full | Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis |
| title_fullStr | Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis |
| title_full_unstemmed | Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis |
| title_short | Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis |
| title_sort | intrauterine transfusion complicated by umbilical artery thrombosis |
| url | http://dx.doi.org/10.1155/2019/5952326 |
| work_keys_str_mv | AT roopalivdonepudi intrauterinetransfusioncomplicatedbyumbilicalarterythrombosis AT kennethjmoise intrauterinetransfusioncomplicatedbyumbilicalarterythrombosis |