Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis

Roopali V Donepudi; Kenneth J Moise Jr

doi:10.1155/2019/5952326

Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis

Case Rep Obstet Gynecol. 2019 Feb 20:2019:5952326. doi: 10.1155/2019/5952326. eCollection 2019.

Authors

Roopali V Donepudi¹, Kenneth J Moise Jr¹

Affiliation

¹ Department of Obstetrics, Gynecology and Reproductive Medicine, Division of Maternal-Fetal Medicine, UT Health-School of Medicine at Houston, The Fetal Center, Children's Memorial Hermann Hospital, Houston, TX, USA.

Abstract

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.

Publication types

Case Reports