Intrauterine thrombosis of umbilical artery – case report

Authors

  • Gustavo Henrique de Oliveira Hospital da Criança e Maternidade, Faculdade de Medicina de São José do Rio Preto and Instituto de Medicina Reprodutiva e Fetal SS
  • Cristiane de Moraes Dias Hospital da Criança e Maternidade, Faculdade de Medicina de São José do Rio Preto and Instituto de Medicina Reprodutiva e Fetal SS
  • Denise Cristina Mós Vaz-Oliani Hospital da Criança e Maternidade, Faculdade de Medicina de São José do Rio Preto and Instituto de Medicina Reprodutiva e Fetal SS
  • Antonio Hélio Oliani Hospital da Criança e Maternidade, Faculdade de Medicina de São José do Rio Preto and Instituto de Medicina Reprodutiva e Fetal SS

Keywords:

Thrombosis, Prenatal diagnosis, Fetal growth retardation, Ultrasonography, prenatal, Embryonic and fetal development

Abstract

CONTEXT: Umbilical cord thrombosis is related to greater fetal and perinatal morbidity and mortality. It is usually associated with umbilical cord abnormalities that lead to mechanical compression with consequent vascular ectasia. Its correct diagnosis and clinical management remains a challenge that has not yet been resolved. CASE REPORT: This study reports a case of umbilical artery thrombosis that occurred in the second half of a pregnancy. The umbilical cord was long, thin and overly twisted and the fetus presented severe intrauterine growth restriction. The clinical and histopathological findings from this case are described. CONCLUSIONS: This case report emphasizes the difficulty in diagnosing and clinically managing abnormalities of intrauterine life with a high chance of perinatal complications.

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Author Biographies

Gustavo Henrique de Oliveira, Hospital da Criança e Maternidade, Faculdade de Medicina de São José do Rio Preto and Instituto de Medicina Reprodutiva e Fetal SS

MD, MSc. Visiting Professor, Interdepartmental Centre for Fetal Medicine, Faculdade de Medicina de São José do Rio Preto (FAMERP), and Attending Physician, Instituto de Medicina Reprodutiva e Fetal SS (IMR), São José do Rio Preto, SP, Brazil.

Cristiane de Moraes Dias, Hospital da Criança e Maternidade, Faculdade de Medicina de São José do Rio Preto and Instituto de Medicina Reprodutiva e Fetal SS

MD. Member of the Interdepartmental Centre for Fetal Medicine, Faculdade de Medicina de São José do Rio Preto (FAMERP), and Attending Physician, Instituto de Medicina Reprodutiva e Fetal SS (IMR), São José do Rio Preto, SP, Brazil.

Denise Cristina Mós Vaz-Oliani, Hospital da Criança e Maternidade, Faculdade de Medicina de São José do Rio Preto and Instituto de Medicina Reprodutiva e Fetal SS

MD, MSc, PhD. Coordinator, Centre for Fetal Medicine, Faculdade de Medicina de São José do Rio Preto (FAMERP), and Adjunct Professor, Department of Gynecology and Obstetrics, São José do Rio Preto, SP, Brazil.

Antonio Hélio Oliani, Hospital da Criança e Maternidade, Faculdade de Medicina de São José do Rio Preto and Instituto de Medicina Reprodutiva e Fetal SS

MD, MSc, PhD. Head, Department of Gynecology and Obstetrics, Faculdade de Medicina de São José do Rio Preto (FAMERP), and Technical Director, Instituto de Medicina Reprodutiva e Fetal SS (IMR), São José do Rio Preto, SP, Brazil.

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Published

2016-08-02

How to Cite

1.
Oliveira GH de, Dias C de M, Vaz-Oliani DCM, Oliani AH. Intrauterine thrombosis of umbilical artery – case report. Sao Paulo Med J [Internet]. 2016 Aug. 2 [cited 2025 Mar. 14];134(4):355-8. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/1106

Issue

Vol. 134 No. 4 (2016)

Section

Case Report

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