Anemia due to massive chronic foetomaternal hemorrhage.
We report a case of massive chronic foetomaternal hemorrhage. The labor course was uncomplicated. The newborn presented with pallor. tachypnea, and moderate hepatosplenomegaly. The initial hemoglobin was 6.5 g/dl. The Kleihauer-Betke stain on a maternal blood sample was 12%, which is equivalent to 540 ml of fetal blood in the maternal circulation. A clot in the umbilical vein was demonstrated sonographically. The possible association of foetomaternal hemorrhage with umbilical vein thrombosis is discussed.
Manoura
A
A
Department of Neonatology, University of Crete Voutes, Crete, Greece.
Hatzidaki
E
E
Christodoulaki
M
M
Korakaki
E
E
Galanaki
H
H
Repapinou
Z
Z
Giannakopoulou
C
C
D000740:Anemia / Q000209:etiology*; D002908:Chronic Disease; D005260:Female; D005331:Fetomaternal Transfusion / Q000150:complications*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D014463:Ultrasonography; D014471:Umbilical Veins; D020246:Venous Thrombosis / Q000000981:diagnostic imaging