Type 3 vasa previa with no low-lying placenta, with central umbilical cord insertion at the upper uterine segment, and with aberrant vessels on the broad membrane: A case report

Michihisa Shiro; Masumi Kiyose; Yukiko Suzuki; Yuka Sano; Shota Ikagawa; Shigeki Yoshida

doi:10.1016/j.crwh.2023.e00558

Type 3 vasa previa with no low-lying placenta, with central umbilical cord insertion at the upper uterine segment, and with aberrant vessels on the broad membrane: A case report

Case Rep Womens Health. 2023 Oct 28:40:e00558. doi: 10.1016/j.crwh.2023.e00558. eCollection 2023 Dec.

Authors

Michihisa Shiro¹, Masumi Kiyose¹, Yukiko Suzuki¹, Yuka Sano¹, Shota Ikagawa¹, Shigeki Yoshida¹

Affiliation

¹ Department of Obstetrics and Gynecology, Chibune General Hospital, Japan.

Abstract

Type 3 vasa previa is a new concept. Herein, a case is reported of a 35-year-old woman, pregnant following in vitro fertilization, in whom vasa previa was detected on color Doppler ultrasound at 26 weeks, with no finding of a low-lying placenta. A cesarean section was performed at 34 weeks and 3 days. Gross examination of the placenta showed Type 3 vasa previa with findings somewhat different from previous reports: two aberrant fetal vessels with branching on the broad membrane, and central cord insertion which was farther from the longitudinal center of the placenta than were the running vessels on the membrane. Vasa previa cannot be excluded due to normal cord insertion at the upper uterine segment, absence of placenta previa, or a low-lying placenta in the second trimester. Careful ultrasound screening can promote neonatal survival in patients with Type 3 vasa previa.

Keywords: Type 3; Ultrasound; Vasa previa.

Publication types

Case Reports