Inferior vena cava thrombosis presenting as non-immune hydrops in the fetus of a woman with diabetes.
We present a rare case of non-immune hydrops fetalis (NIHF) caused by a thrombus in the inferior vena cava in a neonate with low levels of anti-thrombin III. The diagnosis of (NIHF) was made in utero in a 43-year-old woman with poorly controlled gestational diabetes who subsequently developed pre-eclampsia. Cesarean section was performed due to fetal compromise and worsening pre-eclampsia. The thrombus resolved after neonatal treatment with heparin.
Weissmann-Brenner
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Department of Obstetrics and Gynecology, Lenox-Hill Hospital, New York, NY 10021, USA.
Ferber
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O'Reilly-Green
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Avila
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Grassi
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Divon
M Y
MY
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D016640:Diabetes, Gestational; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D015160:Hydrops Fetalis / Q000209:etiology*; D007231:Infant, Newborn; D008297:Male; D018743:Perinatal Care; D011225:Pre-Eclampsia / Q000209:etiology; D011247:Pregnancy; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000188:drug therapy; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging*
D000925:Anticoagulants; D006493:Heparin