Fetal Inferior Vena Cava Thrombosis Associated With Non-Immune Hydrops Fetalis and Maternal Mirror Syndrome

Prenatal assessment of the inferior vena cava (IVC) should be considered in pregnancies with atypical presentations of fetal ascites and placentomegaly. We examine a case of a 25-year-old gravida 2 para 1 type 1 diabetic female at 29 and 4/7 weeks’ gestation. Ultrasound (US) showed fetal ascites and...

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Autores principales: Foxworthy, Kimberly M, Lamb, Eneka, Weymon, Alexandria, Roloff, Emily, Garcia De Paredes, Jessica, Frost, Jamie, Romero, Vivian C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Obstetrics/Gynecology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399607/
https://www.ncbi.nlm.nih.gov/pubmed/37546055
http://dx.doi.org/10.7759/cureus.41357
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author Foxworthy, Kimberly M
Lamb, Eneka
Weymon, Alexandria
Roloff, Emily
Garcia De Paredes, Jessica
Frost, Jamie
Romero, Vivian C
author_facet Foxworthy, Kimberly M
Lamb, Eneka
Weymon, Alexandria
Roloff, Emily
Garcia De Paredes, Jessica
Frost, Jamie
Romero, Vivian C
author_sort Foxworthy, Kimberly M
collection PubMed
description Prenatal assessment of the inferior vena cava (IVC) should be considered in pregnancies with atypical presentations of fetal ascites and placentomegaly. We examine a case of a 25-year-old gravida 2 para 1 type 1 diabetic female at 29 and 4/7 weeks’ gestation. Ultrasound (US) showed fetal ascites and placentomegaly with increased middle cerebral artery peak systolic velocity (MCA-PSV) suspicious of fetal anemia. Cordocentesis with intrauterine transfusion briefly resolved the fetal ascites, though the mother developed pulmonary edema and pleural effusion, suggestive of mirror syndrome. On US, fetal ascites returned and progressed to non-immune hydrops fetalis, prompting delivery. Neonatal US revealed a heterogenous and calcified thrombus within the IVC.
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spelling pubmed-103996072023-08-04 Fetal Inferior Vena Cava Thrombosis Associated With Non-Immune Hydrops Fetalis and Maternal Mirror Syndrome Foxworthy, Kimberly M Lamb, Eneka Weymon, Alexandria Roloff, Emily Garcia De Paredes, Jessica Frost, Jamie Romero, Vivian C Cureus Obstetrics/Gynecology Prenatal assessment of the inferior vena cava (IVC) should be considered in pregnancies with atypical presentations of fetal ascites and placentomegaly. We examine a case of a 25-year-old gravida 2 para 1 type 1 diabetic female at 29 and 4/7 weeks’ gestation. Ultrasound (US) showed fetal ascites and placentomegaly with increased middle cerebral artery peak systolic velocity (MCA-PSV) suspicious of fetal anemia. Cordocentesis with intrauterine transfusion briefly resolved the fetal ascites, though the mother developed pulmonary edema and pleural effusion, suggestive of mirror syndrome. On US, fetal ascites returned and progressed to non-immune hydrops fetalis, prompting delivery. Neonatal US revealed a heterogenous and calcified thrombus within the IVC. Cureus 2023-07-04 /pmc/articles/PMC10399607/ /pubmed/37546055 http://dx.doi.org/10.7759/cureus.41357 Text en Copyright © 2023, Foxworthy et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Obstetrics/Gynecology
Foxworthy, Kimberly M
Lamb, Eneka
Weymon, Alexandria
Roloff, Emily
Garcia De Paredes, Jessica
Frost, Jamie
Romero, Vivian C
Fetal Inferior Vena Cava Thrombosis Associated With Non-Immune Hydrops Fetalis and Maternal Mirror Syndrome
title Fetal Inferior Vena Cava Thrombosis Associated With Non-Immune Hydrops Fetalis and Maternal Mirror Syndrome
title_full Fetal Inferior Vena Cava Thrombosis Associated With Non-Immune Hydrops Fetalis and Maternal Mirror Syndrome
title_fullStr Fetal Inferior Vena Cava Thrombosis Associated With Non-Immune Hydrops Fetalis and Maternal Mirror Syndrome
title_full_unstemmed Fetal Inferior Vena Cava Thrombosis Associated With Non-Immune Hydrops Fetalis and Maternal Mirror Syndrome
title_short Fetal Inferior Vena Cava Thrombosis Associated With Non-Immune Hydrops Fetalis and Maternal Mirror Syndrome
title_sort fetal inferior vena cava thrombosis associated with non-immune hydrops fetalis and maternal mirror syndrome
topic Obstetrics/Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10399607/
https://www.ncbi.nlm.nih.gov/pubmed/37546055
http://dx.doi.org/10.7759/cureus.41357
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