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DOI: 10.1055/a-2238-3217
Massive fetomaternal hemorrhage: A case report
Fetomaternale Makrotransfusion: Ein FallberichtAbstract
We present a case with an incidental finding of abnormal cardiotocography (CTG) pattern as well as elevated middle cerebral artery peak systolic velocity (MCA-PSV) in an otherwise inconspicuous pregnancy. Massive fetomaternal hemorrhage (FMH) was detected as the cause by flow cytometry (FC), resulting in multiple cycles of fetal blood sampling (FBS) showing severe anemia, intrauterine transfusions (IUTs), a preterm delivery, and a healthy infant in follow-up examinations.
Zusammenfassung
In diesem Case Report berichten wir von einem Fall mit einem Zufallsbefund eines pathologischen Cardiotokogramm (CTG)-Musters und erhöhter MCA-PSV des Fetus bei einer ansonsten unauffälligen Schwangerschaft. Durch Flow Cytometry (FC) wurde eine Fetomaternale Makrotransfusion diagnostiziert und mehrere Zyklen von intrauterinem blood sampling (FBS) mit dem Ergebnis schwerer fetaler Anämie durchgeführt. Wiederholte intrauterine Transfusionen (IUT) sowie eine vorzeitige Entbindung resultierten in einem gesunden Kind.
Schlüsselwörter
Fetomaternale Transfusion - Fetale Anämie - Intrauterine Transfusion - Fetales blood samplingPublication History
Received: 09 November 2023
Accepted: 08 December 2023
Article published online:
29 January 2024
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