Re: umbilical vein vs umbilical artery thrombus

From: Jeff Bradley (jbradly@earthlink.net)
Tue Aug 25 05:11:04 1998


. not sure if that was me or my Mac :(

Definately not your MAC, probably the PC on the other end. 8)>

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From: 	Barbara A. Bennett[SMTP:bbennett@stny.lrun.com]
Reply To: 	ultrasound@obgyn.net
Sent: 	Monday, August 24, 1998 9:51 PM
To: 	Multiple recipients of list
Subject: umbilical vein vs umbilical artery thrombus

I was called to the Birthing Center today for possible fetal demise, which was verified by m-mode. It was a very quick scan as patient was hysterical, but happened to see umbilical cord with echogenic material within in it. My first thought was umbilical vein thrombosis, but on a transverse view of the cord, two structures appeared to be echogenic, and only one sonolucent.

Is it possible for both umbilical arteries to thrombose? How long after a demise would that take place?

I have not been able to find anything on UA thrombosis. There is a short reference and one image in Callen second edition for UV thrombosis. I just attempted a medline search, but didn't get much info and got a few ERROR messages. NOt sure if that was me or my Mac :(

Also, patient appeared to have a retroplacental abruption. Placenta was very thick, and non-homogeneous. But, patient denies any pain or bleeding. We have no previous studies.

Any ideas or references?

Thanks,

Barbara, RDMS




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