Scholarlink

Background <p>Subamniotic hemorrhage, a rare condition involving bleeding between the amniotic membrane and fetal chorionic plate, presents diagnostic challenges. </p> Case presentation <p> A 35-year-old woman at 37 weeks of gestation who presented with lower abdominal discomfort and decreased fetal movements came to our emergency department. Ultrasound revealed medium-strong echoes in the amniotic fluid and inhomogeneous echoes around the umbilical cord. A Category II fetal heart rate baseline (FHR) tracing, indicative of fetal compromise, along with an elevated MCA-PSV approaching the diagnostic threshold for fetal anemia, suggested ongoing fetal hypoxia or hemorrhage and warranted immediate delivery to mitigate the risk of adverse outcomes. An emergency cesarean section revealed significant intraamniotic hemorrhage and a subamniotic hematoma near the umbilical cord insertion.</p> Conclusions <p>This case highlights the importance of considering rare etiologies for common symptoms and underscores the value of timely ultrasonography and decisive intervention in preventing adverse fetal outcomes.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Intraamniotic hemorrhage: challenges in prenatal detection: a case report

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月2日

查看全文
  • Li Wang,
  • Caiying Pei,
  • Zhanjie Niu

摘要

Background

Subamniotic hemorrhage, a rare condition involving bleeding between the amniotic membrane and fetal chorionic plate, presents diagnostic challenges.

Case presentation

A 35-year-old woman at 37 weeks of gestation who presented with lower abdominal discomfort and decreased fetal movements came to our emergency department. Ultrasound revealed medium-strong echoes in the amniotic fluid and inhomogeneous echoes around the umbilical cord. A Category II fetal heart rate baseline (FHR) tracing, indicative of fetal compromise, along with an elevated MCA-PSV approaching the diagnostic threshold for fetal anemia, suggested ongoing fetal hypoxia or hemorrhage and warranted immediate delivery to mitigate the risk of adverse outcomes. An emergency cesarean section revealed significant intraamniotic hemorrhage and a subamniotic hematoma near the umbilical cord insertion.

Conclusions

This case highlights the importance of considering rare etiologies for common symptoms and underscores the value of timely ultrasonography and decisive intervention in preventing adverse fetal outcomes.