Open AccessIntrauterine Transfusion Complicated by Umbilical Artery Thrombosis
Author(s) -
Roopali Donepudi,
Kenneth J. Moise
Publication year - 2019
Publication title -
case reports in obstetrics and gynecology
Language(s) - English
Resource type - Journals
eISSN - 2090-6684
pISSN - 2090-6692
DOI - 10.1155/2019/5952326
Subject(s) - medicine , umbilical artery , thrombosis , umbilical cord , fetus , complication , pregnancy , anastomosis , obstetrics , anemia , surgery , genetics , anatomy , biology
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 5 th 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.