scholarly journals Thrombosis of Both Umbilical Arteries of a Female Fetus in a Twin Gestation Causing Fetal Demise

2020 ◽  
Author(s):  
Shubha P. Bhat ◽  
Riturupa Paul ◽  
Teerthanath Srinivas ◽  
Shipra Sonkusare ◽  
Krishna Priya
Keyword(s):  
Intrauterine Growth Retardation ◽  
Umbilical Artery ◽  
Histopathological Examination ◽  
Rare Condition ◽  
Fetal Demise ◽  
Female Fetus ◽  
Intrauterine Growth ◽  
Presenting Symptoms ◽  
Artery Thrombosis ◽  
Umbilical Arteries

AbstractThrombosis of both umbilical arteries is a rare condition, less common than venous thrombosis. They cause a lot of complications during and after delivery. Umbilical artery thrombosis is associated with both maternal predisposing factors and cord abnormalities and is commonly seen in male fetuses. Presenting symptoms are those of intrauterine growth retardation. Ultrasound abdomen and Doppler flow studies are useful in diagnosing this condition. The prognosis is very poor. Histopathological examination is helpful for confirmation. We present a case of both umbilical arteries thrombosis of a female fetus in a twin gestation causing fetal demise.

scholarly journals Prenatal diagnosis of umbilical artery thrombosis in the second trimester: a case report

2021 ◽  
Vol 29 (1) ◽  
pp. 79-82
Author(s):  
Alev Esercan ◽  
Emre Ekmekci
Keyword(s):  
Prenatal Diagnosis ◽  
Umbilical Cord ◽  
Umbilical Artery ◽  
Rare Condition ◽  
Fetal Distress ◽  
Second Trimester ◽  
Third Trimester ◽  
Intrauterine Growth ◽  
Artery Thrombosis ◽  
Umbilical Cord Cyst

Objective Thrombosis of umbilical artery is a rare condition. The diagnosis is established commonly in the third trimester after detection of fetal distress or intrauterine growth retardation, or could be established after delivery. Also, the management of the condition is conflicting after the diagnosis. Case(s) Here we reported an umbilical artery thrombosis case that was diagnosed in the second trimester after referral for an umbilical cord cyst. After the diagnosis at 24th week of pregnancy, she had been followed up weekly. She had been delivered electively at the 34th week of pregnancy uneventfully. The diagnosis was confirmed postnatally. Conclusion The prenatal diagnosis of umbilical arterial thrombosis is so important to prevent perinatal morbidity. When umbilical cord cysts are detected, further evaluation is required in terms of umbilical artery thrombosis.

scholarly journals Is intrauterine growth retardation with normal umbilical artery blood flow a benign condition?

BMJ ◽  
1990 ◽  
Vol 300 (6731) ◽  
pp. 1044-1045 ◽  
Author(s):  
G Burke ◽  
B Stuart ◽  
P Crowley ◽  
S N Scanaill ◽  
J Drumm
Keyword(s):  
Blood Flow ◽  
Growth Retardation ◽  
Intrauterine Growth Retardation ◽  
Umbilical Artery ◽  
Artery Blood Flow ◽  
Benign Condition ◽  
Intrauterine Growth

scholarly journals Application of Umbilical Artery Classification in Complicated Monochorionic Twins

2015 ◽  
Vol 18 (5) ◽  
pp. 601-605 ◽  
Author(s):  
Lucia Pasquini ◽  
Silvia Conticini ◽  
Tiziana Tomaiuolo ◽  
Giovanni Sisti ◽  
Viola Seravalli ◽  
...  
Keyword(s):  
Growth Retardation ◽  
Intrauterine Growth Retardation ◽  
Umbilical Artery ◽  
Type I ◽  
Monochorionic Twins ◽  
Intrauterine Growth ◽  
Type Iii ◽  
Uterine Growth ◽  
Umbilical Artery Doppler ◽  
Intra Uterine Growth Retardation

We report our experience on the application of Gratacos’ classification in a cohort of monochorionic pregnancies complicated by selective intra-uterine growth retardation based on the Doppler assessment of the umbilical artery. Materials and methods: A retrospective study was conducted on 52 cases of monochorionic twin pregnancies, in which one twin presented an abdominal circumference at or below the 10th percentile for gestational age. Cases were classified into three types according to the umbilical artery Doppler in the smaller twin. Subsequently, patients were divided into two groups: the selective IntraUterine Growth Retardation group and the Twin-to-Twin Transfusion Syndrome (TTTS) group. Results: Of the total 52 cases, 37 were classified as Type I, 12 as Type II, and 3 as Type III cases. In the total group, progressive fetal deterioration of the smaller fetus requiring active management was observed in 66.7% of Type II and 11.1% of Type I cases (p < .001), and in no Type III case. Unexpected fetal death of the smaller twin was observed more frequently in Type III (two cases, 66.7%) than in Types I and II cases (5% and 33%, respectively). Among the 52 cases, TTTS with oligo-polyhydramnios sequence was diagnosed in 10 cases. The remaining 42 cases were therefore defined as selective intra-uterine growth retardation. In the selective IntraUterine Growth Retardation group, results were similar to those obtained for the whole population. Conclusions: Classification of complicated monochorionic twins based on the umbilical artery Doppler is particularly important for counseling, even when we include TTTS cases, and permits the prediction of clinical evolution and perinatal outcome.

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