Umbilical Artery Thrombosis Masquerading as Single Umbilical Artery in a Stillbirth
<b>Background:</b> Umbilical artery thrombosis (UAT) masquerading as a single umbilical artery (SUA) is a rare but critical diagnostic challenge in prenatal care. <b>Case Presentation:</b> We described a case of a 22-year-old primigravida with an uneventful obstetric history...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-01-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/15/1/94 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841549301953593344 |
|---|---|
| author | Yin Ping Wong Rahana Abd Rahman Ay Eeng Tan Geok Chin Tan |
| author_facet | Yin Ping Wong Rahana Abd Rahman Ay Eeng Tan Geok Chin Tan |
| author_sort | Yin Ping Wong |
| collection | DOAJ |
| description | <b>Background:</b> Umbilical artery thrombosis (UAT) masquerading as a single umbilical artery (SUA) is a rare but critical diagnostic challenge in prenatal care. <b>Case Presentation:</b> We described a case of a 22-year-old primigravida with an uneventful obstetric history who presented with reduced fetal movements at 22 weeks of gestation. Ultrasound showed no gross fetal structural anomalies while umbilical artery Doppler flow imaging revealed an isolated SUA. The patient again presented with diminished fetal movement at 24 weeks gestation, and a diagnosis of intrauterine demise was confirmed ultrasonographically. She was then induced and delivered a macerated stillborn female fetus. Placental examination revealed three umbilical vessels with an occlusive thrombus seen within the umbilical artery consistent with UAT, a finding previously mistaken for SUA. <b>Conclusions:</b> This case underscores the diagnostic difficulties of UAT radiologically, especially when there was no prior documented evidence of two umbilical arteries. Identification of at-risk fetuses would allow for close monitoring or effective interventions to be implemented as early as possible to avert preventable fetal loss. |
| format | Article |
| id | doaj-art-cb17c0ffb4a34d0ba4663524c6b930cc |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-cb17c0ffb4a34d0ba4663524c6b930cc2025-01-10T13:16:42ZengMDPI AGDiagnostics2075-44182025-01-011519410.3390/diagnostics15010094Umbilical Artery Thrombosis Masquerading as Single Umbilical Artery in a StillbirthYin Ping Wong0Rahana Abd Rahman1Ay Eeng Tan2Geok Chin Tan3Department of Pathology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaDepartment of Obstetrics and Gynaecology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, MalaysiaObstetrics and Gynaecology, Prince Court Medical Centre, Kuala Lumpur 50450, MalaysiaDepartment of Pathology, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur 56000, Malaysia<b>Background:</b> Umbilical artery thrombosis (UAT) masquerading as a single umbilical artery (SUA) is a rare but critical diagnostic challenge in prenatal care. <b>Case Presentation:</b> We described a case of a 22-year-old primigravida with an uneventful obstetric history who presented with reduced fetal movements at 22 weeks of gestation. Ultrasound showed no gross fetal structural anomalies while umbilical artery Doppler flow imaging revealed an isolated SUA. The patient again presented with diminished fetal movement at 24 weeks gestation, and a diagnosis of intrauterine demise was confirmed ultrasonographically. She was then induced and delivered a macerated stillborn female fetus. Placental examination revealed three umbilical vessels with an occlusive thrombus seen within the umbilical artery consistent with UAT, a finding previously mistaken for SUA. <b>Conclusions:</b> This case underscores the diagnostic difficulties of UAT radiologically, especially when there was no prior documented evidence of two umbilical arteries. Identification of at-risk fetuses would allow for close monitoring or effective interventions to be implemented as early as possible to avert preventable fetal loss.https://www.mdpi.com/2075-4418/15/1/94placentasingle umbilical arterystillbirthumbilical cordumbilical artery thrombosis |
| spellingShingle | Yin Ping Wong Rahana Abd Rahman Ay Eeng Tan Geok Chin Tan Umbilical Artery Thrombosis Masquerading as Single Umbilical Artery in a Stillbirth Diagnostics placenta single umbilical artery stillbirth umbilical cord umbilical artery thrombosis |
| title | Umbilical Artery Thrombosis Masquerading as Single Umbilical Artery in a Stillbirth |
| title_full | Umbilical Artery Thrombosis Masquerading as Single Umbilical Artery in a Stillbirth |
| title_fullStr | Umbilical Artery Thrombosis Masquerading as Single Umbilical Artery in a Stillbirth |
| title_full_unstemmed | Umbilical Artery Thrombosis Masquerading as Single Umbilical Artery in a Stillbirth |
| title_short | Umbilical Artery Thrombosis Masquerading as Single Umbilical Artery in a Stillbirth |
| title_sort | umbilical artery thrombosis masquerading as single umbilical artery in a stillbirth |
| topic | placenta single umbilical artery stillbirth umbilical cord umbilical artery thrombosis |
| url | https://www.mdpi.com/2075-4418/15/1/94 |
| work_keys_str_mv | AT yinpingwong umbilicalarterythrombosismasqueradingassingleumbilicalarteryinastillbirth AT rahanaabdrahman umbilicalarterythrombosismasqueradingassingleumbilicalarteryinastillbirth AT ayeengtan umbilicalarterythrombosismasqueradingassingleumbilicalarteryinastillbirth AT geokchintan umbilicalarterythrombosismasqueradingassingleumbilicalarteryinastillbirth |