• OliveiraGustavo Henrique deGHMD, MSc. Visiting Professor, Interdepartmental Centre for Fetal Medicine, Faculdade de Medicina de São José do Rio Preto (FAMERP), and Attending Physician, Instituto de Medicina Reprodutiva e Fetal SS (IMR), São José do Rio Pr, Cristiane de Moraes Dias, Denise Cristina Mós Vaz-Oliani, and Antonio Hélio Oliani.
• MD, MSc. Visiting Professor, Interdepartmental Centre for Fetal Medicine, Faculdade de Medicina de São José do Rio Preto (FAMERP), and Attending Physician, Instituto de Medicina Reprodutiva e Fetal SS (IMR), São José do Rio Preto, SP, Brazil.
• Sao Paulo Med J. 2016 Jul 1; 134 (4): 355358355-8.

ContextUmbilical cord thrombosis is related to greater fetal and perinatal morbidity and mortality. It is usually associated with umbilical cord abnormalities that lead to mechanical compression with consequent vascular ectasia. Its correct diagnosis and clinical management remains a challenge that has not yet been resolved.Case ReportThis study reports a case of umbilical artery thrombosis that occurred in the second half of a pregnancy. The umbilical cord was long, thin and overly twisted and the fetus presented severe intrauterine growth restriction. The clinical and histopathological findings from this case are described.ConclusionsThis case report emphasizes the difficulty in diagnosing and clinically managing abnormalities of intrauterine life with a high chance of perinatal complications.

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