Vasa previa Type 3: Advocating for universal screening and investigation of risk factors: A case report

被引:0
|
作者
Mohamad, Hawraa [1 ]
Yared, Georges [4 ]
Al Hassan, Jihad [5 ]
Nakib, Hamza [6 ]
El Hajjar, Charlotte [2 ]
Ghazal, Kariman [2 ,3 ,7 ]
机构
[1] Lebanese Univ, Obstet & Gynecol Resident, Fac Med Sci, Beirut, Lebanon
[2] Rafik Hariri Univ Hosp, Dept Obstet & Gynecol, Beirut, Lebanon
[3] Lebanese Univ, Fac Med Sci, Obstet & Gynecol Dept, Beirut, Lebanon
[4] Lebanese Amer Univ, Dept Obstet & Gynecol, Beirut, Lebanon
[5] Al Zahraa Hosp Univ Med Ctr, Dept Obstet & Gynecol, Beirut, Lebanon
[6] Lebanese Amer Univ, Beirut, Lebanon
[7] Lebanese Univ, Dept Obstet & Gynecol, Beirut, Lebanon
来源
关键词
Type 3 vasa previa; aberrant fetal vessels; marginal cord insertion; ULTRASOUND; DIAGNOSIS;
D O I
10.1177/2050313X241253747
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Vasa previa is a critical obstetric condition marked by unprotected fetal vessels near the cervical os, traditionally divided into Types 1 and 2, based on its association with velamentous cord insertion and accessory placental lobes, respectively. The recent introduction of Type 3 vasa previa addresses atypical cases. We report a unique intrapartum diagnosis of Type 3 vasa previa in a 39-year-old at 38 weeks of gestation, identified during labor induction without prior risk indicators. Despite lacking traditional risk factors, advanced imaging and clinical vigilance led to a primary cesarean delivery, confirming the diagnosis through intraoperative findings of three aberrant vessels with marginal cord insertion. This case emphasizes the critical importance of considering vasa previa in prenatal and intrapartum care to prevent adverse outcomes, advocating for universal screening practices to identify this rare but significant condition.
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页数:6
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