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19 January 2018 : Case report  France

A Case of Umbilical Artery Thrombosis in the Third Trimester of Pregnancy

Unknown etiology, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Unusual setting of medical care

Fouad Lutfallah1ABDE, Nina Oufkir1DE, Georges A. Markou1ACE*, Delphine Frimigacci1CDEF, Christophe Poncelet12CDEF

DOI: 10.12659/AJCR.906859

Am J Case Rep 2018; 19:72-75

Abstract

BACKGROUND: Umbilical artery thrombosis is an extremely rare complication during pregnancy. Umbilical artery thrombosis has a poor prognosis and is associated with increased rates of perinatal morbidity, including intrauterine growth restriction (IUGR), and fetal mortality.

CASE REPORT: We report a rare case of umbilical artery thrombosis, diagnosed by ultrasound, at 33 weeks gestation in a 30-year-old woman who had previously had an uneventful pregnancy.

CONCLUSIONS: Umbilical artery thrombosis is a rare complication of pregnancy that is associated with high fetal mortality. Management may include planned elective delivery by cesarean section, following antenatal corticosteroid therapy for fetal lung maturation.

Keywords: Prenatal Diagnosis, Thrombosis, Umbilical Arteries

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923