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

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

Am J Case Rep. 2018 Jan 19;19:72-75

Authors: Lutfallah F, Oufkir N, Markou GA, Frimigacci D, Poncelet C

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.

PMID: 29348396 [PubMed - in process]

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