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

Type 3 vasa previa aberrant fetal vessels marginal cord insertion

Journal

SAGE open medical case reports
ISSN: 2050-313X
Titre abrégé: SAGE Open Med Case Rep
Pays: England
ID NLM: 101638686

Informations de publication

Date de publication:
2024
Historique:
received: 23 02 2024
accepted: 23 04 2024
medline: 20 5 2024
pubmed: 20 5 2024
entrez: 20 5 2024
Statut: epublish

Résumé

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.

Identifiants

pubmed: 38764916
doi: 10.1177/2050313X241253747
pii: 10.1177_2050313X241253747
pmc: PMC11102669
doi:

Types de publication

Case Reports

Langues

eng

Pagination

2050313X241253747

Informations de copyright

© The Author(s) 2024.

Déclaration de conflit d'intérêts

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Auteurs

Hawraa Mohamad (H)

Obstetrics and Gynecology Resident at Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon.

Georges Yared (G)

Department of Obstetrics and Gynecology, Lebanese American University, Beirut, Lebanon.

Jihad Al Hassan (J)

Department of Obstetrics and Gynecology, Al Zahraa Hospital University Medical Centre, Beirut, Lebanon.

Hamza Nakib (H)

The Lebanese American University, Beirut, Lebanon.

Charlotte El Hajjar (C)

Department of Obstetrics and Gynecology at Rafik Hariri University Hospital, Beirut, Lebanon.

Kariman Ghazal (K)

Department of Obstetrics and Gynecology at Rafik Hariri University Hospital, Beirut, Lebanon.
Department of Obstetrics and Gynecology at Lebanese University, Faculty of Medical Sciences, Beirut, Lebanon.

Classifications MeSH