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Intrauterine thrombosis of umbilical artery - case report

2016; Medical Association of São Paulo; Volume: 134; Issue: 4 Linguagem: Inglês

10.1590/1516-3180.2016.00081203

1806-9460

Gustavo Henrique de Medeiros Oliveira, Cristiane de Moraes Dias, Denise Cristina Mós Vaz-Oliani, António Hélio Oliani,

Gestational Diabetes Research and Management

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.