| Sonographic findings in severe fetomaternal transfusion. | |
| | |
MedLine Citation:
|
PMID: 19462175 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Fetomaternal hemorrhage (FMH) or fetomaternal transfusion syndrome is the leakage of fetal red blood cells into the maternal circulation. Massive FMH can cause substantial fetal morbidity and mortality. Sonographic evidence of severe FMH syndrome includes fetal hydrops and other fetal anemia-related findings. The peak systolic velocity in the middle cerebral artery has extensively been used for the prediction of fetal anemia and for the timing of the first intrauterine intravascular transfusion (IIVT). We present a case of severe FMH syndrome that was diagnosed during the 24th week of pregnancy. A total of eight IIVT were performed. The actual increase in the fetal Hb after each transfusion was much lower than the expected. At 27 weeks of gestation, sonographic evaluation revealed areas of echogenicity around the posterior horns of the lateral ventricles suggesting ischemic damage. Due to these findings, no further IIVTs were offered and the fetus died a week later. The management of fetal anemia caused by severe FMH is difficult, and the anemic fetuses do not respond well to serial IIVTs as the transfer of blood to the maternal circulation continues. |
| | |
Authors:
|
S Sifakis; O Koukoura; A E Konstantinidou; K Kikidi; M Prezerakou; P Kaminopetros |
Related Documents
:
|
7113695 - Hydrops fetalis caused by maternal indomethacin treatment. 18633765 - Fetal peritonitis due to appendiceal rupture: a rare complication of hydrops. 3630055 - Biochemistry of packed red blood cell concentrates stored in paggs-sorbitol solution fo... 19018145 - Congenital fibrosarcoma as cause for fetal anemia: prenatal diagnosis and in utero trea... 9021385 - Intrauterine sonographic assessments of embryonal liver length. 21197595 - Effect of pre-pregnancy body mass index on adverse pregnancy outcome in north of china. |
Publication Detail:
|
Type: Case Reports; Journal Article Date: 2009-05-22 |
Journal Detail:
|
Title: Archives of gynecology and obstetrics Volume: 281 ISSN: 1432-0711 ISO Abbreviation: Arch. Gynecol. Obstet. Publication Date: 2010 Feb |
Date Detail:
|
Created Date: 2009-12-25 Completed Date: 2010-04-01 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8710213 Medline TA: Arch Gynecol Obstet Country: Germany |
Other Details:
|
Languages: eng Pagination: 241-5 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, University Hospital of Heraklion, 71201, Heraklion, Crete, Greece. sifakis@excite.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Blood Transfusion, Intrauterine / standards* Female Fetal Death Fetomaternal Transfusion / therapy, ultrasonography* Fetus Hemoglobins / analysis Humans Pregnancy |
| Chemical | |
Reg. No./Substance:
|
0/Hemoglobins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A study on clinical and sonographic features in obese and nonobese patients with polycystic ovary sy...
Next Document: Acinetobacter baumannii infection during pregnancy and puerperium.