Article ; Online: Umbilical artery Thrombosis: A case report of prenatal diagnosis and systematic review of the literature.
European journal of obstetrics, gynecology, and reproductive biology
2024 Volume 296, Page(s) 6–12
Abstract: Umbilical Artery Thrombosis (UAT) is an extremely rare complication of pregnancy strongly associated with severe fetal distress and death. The pathogenesis is still unclear but it is often associated with anatomical cord abnormalities that leads to blood ...
Abstract | Umbilical Artery Thrombosis (UAT) is an extremely rare complication of pregnancy strongly associated with severe fetal distress and death. The pathogenesis is still unclear but it is often associated with anatomical cord abnormalities that leads to blood stasis and thrombosis formation. Other possible risk factors are maternal thrombophilia, autoimmune disease, gestational diabetes, hypertension disorders of pregnancy and Rh-alloimmunization. The most common clinical symptom is the reduction of fetal movements. The diagnosis is histopathological, but it can be suspected by clinical and prenatal ultrasound findings. Generally, the first choice therapy is the immediate delivery with cesarean section. This study reported a case of a spontaneous intrauterine UAT in a low-risk pregnancy and a systematic review of the literature on clinical, ultrasound and histopathological findings of UAT, in order to help clinicians in the diagnostic process and management of this rare complication. |
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MeSH term(s) | Pregnancy ; Humans ; Female ; Umbilical Arteries/diagnostic imaging ; Cesarean Section/adverse effects ; Pregnancy Complications/pathology ; Prenatal Diagnosis ; Thrombosis/etiology ; Ultrasonography, Prenatal/adverse effects |
Language | English |
Publishing date | 2024-02-10 |
Publishing country | Ireland |
Document type | Systematic Review ; Case Reports ; Journal Article ; Review |
ZDB-ID | 190605-7 |
ISSN | 1872-7654 ; 0301-2115 ; 0028-2243 |
ISSN (online) | 1872-7654 |
ISSN | 0301-2115 ; 0028-2243 |
DOI | 10.1016/j.ejogrb.2024.02.016 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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