Related Experiment Videos
Single fetal demise in a twin gestation: umbilical vein thrombosis
L V Baxi1, A Daftary, A Loucopoulos
1Department of Obstetrics and Gynecology, College of Physicians and Surgeons Columbia University, Sloane Hospital for Women at Columbia Presbyterian Medical Center, New York, N.Y., USA. baxilax@cpmc3.cpmc.columbia.edu
Background:
Single fetal demise in a twin pregnancy is a rare event, the common causes being twin-twin transfusion syndrome, chromosomal or congenital anomalies and abnormalities of the umbilical cord and placenta. Umbilical vein thrombosis is a very rare cause of single fetal demise in twins.
Case:
Three days after a reassuring biophysical profile, a 40-year-old primigravida with twin pregnancy presented at 38 weeks' gestation in early labor when demise of 1 of the twins was recognized. She underwent a cesarean section for arrest of labor, delivering twin A, a stillborn female weighing 2, 360 g and twin B, a liveborn male weighing 2,200 g. Umbilical vein thrombus was noted in twin A.
Conclusion:
Umbilical vein thrombosis is a rare and sudden cause of fetal demise.