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Fetal Mouse Cardiovascular Imaging Using a High-frequency Ultrasound (30/45MHZ) System
07:34

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Published on: May 5, 2018

Lethal fetal stroke in utero.

Tzu-Hung Lin1, Chien-Nan Lee, Yi-Ning Su

  • 1Dianthus Maternal Fetal Medicine Clinic, Taipei City, Taiwan.

Taiwanese Journal of Obstetrics & Gynecology
|August 7, 2013
PubMed
Summary
This summary is machine-generated.

Fetal intracranial hemorrhage (ICH) in utero is a rare complication of pregnancy. This case report highlights a lethal outcome in a pregnant patient with Crohn's disease, emphasizing the critical need for awareness.

Keywords:
Crohn's diseasefetal cerebral hemorrhagefetal intracranial hemorrhagefetal intraventricular hemorrhagefetal stroke

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Neonatology

Background:

  • Fetal intracranial hemorrhage (ICH) is a rare obstetric complication.
  • Pregnancy in women with Crohn's disease presents unique challenges.
  • Early detection of fetal distress is crucial for adverse outcomes.

Observation:

  • A 34-year-old woman with Crohn's disease presented with decreased fetal movement at 36 weeks' gestation.
  • Fetal monitoring revealed poor beat-to-beat variability.
  • Doppler ultrasonography indicated fetal ICH, abnormal middle cerebral artery flow, and a distended bladder.

Findings:

  • The case describes a prenatal stroke with evidence of fetal ICH.
  • Despite counseling on the poor prognosis, intrauterine fetal death occurred 22 hours after admission.
  • This suggests a potential association between Crohn's disease and severe fetal complications.

Implications:

  • Fetal ICH in utero may be a rare but lethal complication of Crohn's disease during pregnancy.
  • This case underscores the importance of vigilant fetal surveillance in high-risk pregnancies.
  • Further research is needed to understand the mechanisms linking Crohn's disease and fetal ICH.