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

Fouad Lutfallah1, Nina Oufkir1, Georges A Markou1

  • 1Department of Obstetrics and Gynecology, René-Dubos Hospital Center, Pontoise, France.

The American Journal of Case Reports
|January 20, 2018
PubMed

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.

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