Umbilical Artery Thrombosis with Associated Acute and Severe Fetal Growth Restriction and Transient Severe Protein S Deficiency: Report of a Case with Prenatal Ultrasound Diagnosis Allowing for Timely Intervention and Good Outcome
Joint Authors
Alhousseini, Ali
Jaiman, Sunil
Hernandez-Andrade, Edgar
Zeineddine, Salam
Qureshi, Faisal
Jacques, Suzanne M.
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-07-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
Thrombosis of one of the umbilical arteries can be associated with adverse pregnancy outcomes such as stillbirth and severe intrauterine growth restriction (IUGR).
Case.
A 21-year-old gravida 1 patient, with a history of 3-vessel cord at 20 weeks, presented at 29 weeks with a single umbilical artery.
The estimated fetal weight measurements at 26 weeks, 29 weeks, and 31 weeks were at the 27th percentile, the 26th percentile, and less than the 5th percentile, respectively.
At 33 weeks, amniotic fluid index became abnormal at 2.3 cm and fetal heart tracing revealed spontaneous prolonged decelerations, and a cesarean delivery was performed.
Placental pathology showed thrombosis of one of the umbilical arteries.
At birth, a transient protein S deficiency was detected (activity 13%) and resolved at two months of age (activity 66%).
The baby had an uneventful clinical course since birth.
Conclusion.
The recognition of reduction of umbilical arteries from two to one allowed for timely intervention with good outcome in this case.
Thrombosis of umbilical vessels may be associated with a deficiency in coagulation proteins such as protein S.
American Psychological Association (APA)
Alhousseini, Ali& Jaiman, Sunil& Hernandez-Andrade, Edgar& Zeineddine, Salam& Qureshi, Faisal& Jacques, Suzanne M.. 2018. Umbilical Artery Thrombosis with Associated Acute and Severe Fetal Growth Restriction and Transient Severe Protein S Deficiency: Report of a Case with Prenatal Ultrasound Diagnosis Allowing for Timely Intervention and Good Outcome. Case Reports in Obstetrics and Gynecology،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1145833
Modern Language Association (MLA)
Alhousseini, Ali…[et al.]. Umbilical Artery Thrombosis with Associated Acute and Severe Fetal Growth Restriction and Transient Severe Protein S Deficiency: Report of a Case with Prenatal Ultrasound Diagnosis Allowing for Timely Intervention and Good Outcome. Case Reports in Obstetrics and Gynecology No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1145833
American Medical Association (AMA)
Alhousseini, Ali& Jaiman, Sunil& Hernandez-Andrade, Edgar& Zeineddine, Salam& Qureshi, Faisal& Jacques, Suzanne M.. Umbilical Artery Thrombosis with Associated Acute and Severe Fetal Growth Restriction and Transient Severe Protein S Deficiency: Report of a Case with Prenatal Ultrasound Diagnosis Allowing for Timely Intervention and Good Outcome. Case Reports in Obstetrics and Gynecology. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1145833
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145833