Lethal fetal stroke in utero
Journal
Taiwanese Journal of Obstetrics and Gynecology
Journal Volume
52
Journal Issue
2
Pages
264-266
Date Issued
2013
Author(s)
Abstract
Objective: Fetal intracranial hemorrhage (ICH) in utero is a rare complication of pregnancy associated with subsequent neurological sequelae or fetal death. Case report: A 34-year-old woman with Crohn's disease presented at 36 weeks' gestation due to decreased fetal movement. Fetal heart-rate tracing indicated poor beat-to-beat variability. In addition, a Doppler ultrasonography suggested a prenatal stroke with evidences of ICH, reverse-end diastolic velocity of the middle cerebral artery, and a persistent distended bladder. A nonaggressive treatment option was chosen after counseling about the unfavorable prognosis. However, 22 hours after her admission, intrauterine fetal death occurred. Conclusion: Fetal ICH in utero might be a rare yet lethal complication of Crohn's disease in pregnancy. ? 2013, Taiwan Association of Obstetrics & Gynecology.
SDGs
Other Subjects
hemoglobin; mesalazine; prokinetic agent; adult; anemia; article; autopsy; bladder distension; brain blood flow; brain hemorrhage; case report; colon intussusception; colon perforation; conservative treatment; cordocentesis; Crohn disease; Doppler flowmetry; female; fetal intracranial hemorrhage; fetus; fetus death; fetus disease; fetus echography; fetus heart rate; fetus movement; gestation period; hemoglobin blood level; hospital admission; human; intracranial hypertension; labor induction; medical history; middle cerebral artery; nuclear magnetic resonance imaging; postoperative care; pregnancy complication; prognosis; reverse end diastolic velocity; shift to the left; temporal lobe; vaginal delivery; Crohn's disease; fetal cerebral hemorrhage; fetal intracranial hemorrhage; fetal intraventricular hemorrhage; fetal stroke; Adult; Crohn Disease; Fatal Outcome; Female; Fetal Death; Fetal Diseases; Humans; Intracranial Hemorrhages; Magnetic Resonance Imaging; Pregnancy; Pregnancy Complications; Stroke; Ultrasonography, Prenatal
Type
journal article