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 ascite...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) Vol. 15; no. 7; p. e41357
Main Authors: Foxworthy, Kimberly M, Lamb, Eneka, Weymon, Alexandria, Roloff, Emily, Garcia De Paredes, Jessica, Frost, Jamie, Romero, Vivian C
Format: Journal Article
Language:English
Published: United States Springer Nature B.V 04.07.2023
Cureus
Subjects:
Abdomen
Anemia
Ascites
Blood clots
Calcification
Cesarean section
Diabetes
Edema
Fetuses
Gestational age
Heart rate
Hemoglobin
Medicine
Mortality
Mutation
Obstetrics/Gynecology
Pediatrics
Radiology
Thrombocytopenia
Thrombosis
Ultrasonic imaging
Veins & arteries
United States > US
Grand Rapids Michigan
fetal ascites
hydrops fetalis
non-immune hydrops fetalis
inferior vena cava thrombosis
maternal mirror syndrome
ISSN:2168-8184, 2168-8184
Online Access:Get full text
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Summary: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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ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.41357