Journal of Gynecology and Obstetrics

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A Case Report of Umbilical Artery Thrombosis

Received: 8 November 2023    Accepted: 27 November 2023    Published: 11 December 2023
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Abstract

Umbilical artery thrombosis is a perinatal disease with low incidence rate and high mortality. Umbilical artery thrombosis is very rare. Research data show that the pregnancy outcome of fetuses with umbilical artery thrombosis is usually poor, and umbilical artery thrombosis is rare. Prenatal screening and diagnosis of umbilical artery thrombosis are usually performed through ultrasound examination. So far, no consensus has been reached on treatment. We reported a rare case of umbilical artery thrombosis combined with abnormal umbilical vein catheter blood flow in late pregnancy. Emergency cesarean section was performed after emergency admission. Thrombosis was observed in one umbilical artery during and after surgery pathology. Follow up the postpartum and newborn babies, and both are in good condition. During pregnancy, the number and morphology of umbilical arteries should be carefully observed. The treatment of umbilical artery thrombosis should be based on clinical conditions, and timely termination of pregnancy if necessary may be suitable for improving adverse pregnancy outcomes.

DOI 10.11648/j.jgo.20231106.17
Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 6, November 2023)
Page(s) 164-167
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Umbilical Artery Thrombosis, Pregnancy, Fetal Heart Monitoring

References
[1] Hongmei Dong, Xiaohang Zhang, Suzhen Ran. Analysis of prenatal ultrasound features of a umbilical artery embolism [J]. Chinese Journal of Ultrasound Imaging, 2020, 29 (10): 892-896.
[2] Aihua Ruan, Xiaoqin He, Xiaohong Zhong. Prenatal ultrasound diagnosis of umbilical artery embolism [J]. Chinese Journal of Ultrasound Medicine, 2020, 36 (12): 1140-1142.
[3] Ying Zhu, Yanyan Liu. Analysis of high-risk factors and perinatal outcomes of umbilical vein thrombosis [J] Journal of China University of Science and Technology, 2020, 50 (07): 936-9.
[4] Xiaomin Ma, Qingyun Shi, Ling Chang, et al. A case of umbilical artery thrombosis [J] Chinese Electronic Journal of Obstetrics and Emergency Care, 2019, 8 (04): 254-6.
[5] Qiuyu Huang, Yingying Huang, Qitao Huang, et al. Interpretation and comparison of domestic and international guidelines and expert consensus on the prevention of pregnancy related venous thrombosis [M]. 2022.
[6] TING W, YINGSHA Y, TING X, et al. Application of low molecular weight heparins in umbilical artery thrombosis: A case series and review of the literature [J]. Medicine, 2023, 102 (15).
[7] REBECCAH D, BETHANY M, CHRISTOPHER S. Case Report of Umbilical Artery Thrombosis in a Patient With a History of Heparin-Induced Thrombocytopenia [J]. Journal of obstetric, gynecologic, and neonatal nursing: JOGNN, 2023.
[8] Youping Wu, Nayan Chen, Xiaohong Zhong. Ultrasound manifestations of umbilical artery thromboembolism [J] Chinese Medical Imaging Technology, 2023, 39 (06): 932-3.
[9] SHILLING C, WALSH C, DOWNEY P, et al. Umbilical Artery Thrombosis is a Rare but Clinically Important Finding: A Series of 7 Cases with Clinical Outcomes [J]. Pediatric and Developmental Pathology, 2014, 17 (2).
[10] A J R, T X, W L, et al. [Clinical analysis of 31 cases of fetal umbilical artery thrombosis] [J]. Zhonghua fu chan ke za zhi, 2023, 58 (7).
[11] QILIN W, YANPING Z, RONG Z. Expectant management for umbilical artery thrombosis in monochorionic diamniotic twin pregnancies: a case report [J]. BMC pregnancy and childbirth, 2023, 23 (1).
[12] Huanxi Li, Quanfeng Wu, Wei Wei, et al. Clinical analysis of 352 cases of single umbilical artery diagnosed by prenatal ultrasound in single fetuses [J] Journal of Practical Obstetrics and Gynecology, 2019, 35 (06): 463-6.
[13] TAITO K, AYAKO O, KUMIKO T, et al. A case of severe neonatal asphyxia due to umbilical artery thrombosis [J]. Journal of obstetrics and gynaecology: the journal of the Institute of Obstetrics and Gynaecology, 2018, 38 (8).
[14] Lina Ye, Cuimei Li, Cuicui Xie The influencing factors of abnormal S/D ratio of umbilical artery blood flow and its impact on perinatal outcomes [M]. 2019.
[15] CAIXIA H, KUN D, ZONGYANG J, et al. Expectant management for umbilical artery thrombosis: a report of two cases and literature review [J]. The journal of maternal-fetal & neonatal medicine: the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians, 2022, 35 (25).
[16] Qian Sun, Zhen Jin. The current status of diagnosis and treatment of umbilical artery embolism [J] The progress of modern obstetrics and gynecology, 2019, 28 (05): 393-5.
Cite This Article
  • APA Style

    Lin, D., Guo, X., Zeng, X., Zhong, L. (2023). A Case Report of Umbilical Artery Thrombosis. Journal of Gynecology and Obstetrics, 11(6), 164-167. https://doi.org/10.11648/j.jgo.20231106.17

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    ACS Style

    Lin, D.; Guo, X.; Zeng, X.; Zhong, L. A Case Report of Umbilical Artery Thrombosis. J. Gynecol. Obstet. 2023, 11(6), 164-167. doi: 10.11648/j.jgo.20231106.17

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    AMA Style

    Lin D, Guo X, Zeng X, Zhong L. A Case Report of Umbilical Artery Thrombosis. J Gynecol Obstet. 2023;11(6):164-167. doi: 10.11648/j.jgo.20231106.17

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  • @article{10.11648/j.jgo.20231106.17,
      author = {Danmin Lin and Xiaoling Guo and Xinfang Zeng and Limin Zhong},
      title = {A Case Report of Umbilical Artery Thrombosis},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {6},
      pages = {164-167},
      doi = {10.11648/j.jgo.20231106.17},
      url = {https://doi.org/10.11648/j.jgo.20231106.17},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231106.17},
      abstract = {Umbilical artery thrombosis is a perinatal disease with low incidence rate and high mortality. Umbilical artery thrombosis is very rare. Research data show that the pregnancy outcome of fetuses with umbilical artery thrombosis is usually poor, and umbilical artery thrombosis is rare. Prenatal screening and diagnosis of umbilical artery thrombosis are usually performed through ultrasound examination. So far, no consensus has been reached on treatment. We reported a rare case of umbilical artery thrombosis combined with abnormal umbilical vein catheter blood flow in late pregnancy. Emergency cesarean section was performed after emergency admission. Thrombosis was observed in one umbilical artery during and after surgery pathology. Follow up the postpartum and newborn babies, and both are in good condition. During pregnancy, the number and morphology of umbilical arteries should be carefully observed. The treatment of umbilical artery thrombosis should be based on clinical conditions, and timely termination of pregnancy if necessary may be suitable for improving adverse pregnancy outcomes.
    },
     year = {2023}
    }
    

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    T1  - A Case Report of Umbilical Artery Thrombosis
    AU  - Danmin Lin
    AU  - Xiaoling Guo
    AU  - Xinfang Zeng
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    DO  - 10.11648/j.jgo.20231106.17
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    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20231106.17
    AB  - Umbilical artery thrombosis is a perinatal disease with low incidence rate and high mortality. Umbilical artery thrombosis is very rare. Research data show that the pregnancy outcome of fetuses with umbilical artery thrombosis is usually poor, and umbilical artery thrombosis is rare. Prenatal screening and diagnosis of umbilical artery thrombosis are usually performed through ultrasound examination. So far, no consensus has been reached on treatment. We reported a rare case of umbilical artery thrombosis combined with abnormal umbilical vein catheter blood flow in late pregnancy. Emergency cesarean section was performed after emergency admission. Thrombosis was observed in one umbilical artery during and after surgery pathology. Follow up the postpartum and newborn babies, and both are in good condition. During pregnancy, the number and morphology of umbilical arteries should be carefully observed. The treatment of umbilical artery thrombosis should be based on clinical conditions, and timely termination of pregnancy if necessary may be suitable for improving adverse pregnancy outcomes.
    
    VL  - 11
    IS  - 6
    ER  - 

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Author Information
  • Obstetrics and Gynecology Department, First Affiliated Hospital of Jinan University, Guangzhou, China

  • Foshan Maternal and Child Health Hospital, Foshan, China

  • Obstetrics and Gynecology Department, First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Rehabilitation, First Affiliated Hospital of Jinan University, Guangzhou, China

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