Intrauterine Transfusion Complicated by Umbilical Artery Thrombosis

Abstract EN

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 t h 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.