Thrombosis Of Both Umbilical Arteries Of A Female Fetus In A Twin Gestation Causing Fetal Demise

Thrombosis of both umbilical arteries is a rare condition, less common than venous thrombosis. They cause a lot of complications during and after delivery. Umbilical artery thrombosis is associated with both maternal predisposing factors and cord abnormalities and is commonly seen in male fetuses. Presenting symptoms are those of intrauterine growth retardation. Ultrasound abdomen and Doppler flow studies are useful in diagnosing this condition. The prognosis is very poor. Histopathological examination is helpful for confirmation. We present a case of both umbilical arteries thrombosis of a female fetus in a twin gestation causing fetal demise.