Rapid development of hemolytic disease of the fetus in a patient with Kell-alloimmunization
S Bosselmann, B Schlehe, M Boudewijns, C Sohn, M Elsässer · Ultraschall in der Medizin - European Journal of Ultrasound · 2013 · Heft 10
Bibliografische Angaben
Zusammenfassung
Purpose: We present a case of surprisingly rapid development of hemolytic disease of the fetus and newborn (HDFN) caused by Kell-alloimmunization (K1). The 32 year-old gravida 2, para 1 (2 g/1 p) presented at 14+4 completed weeks of gestation (p.m.). In the course of pregnancy the fetus developed fetal anemia presenting with ascites and a significant increase of the blood flow velocity of the fetal middle cerebral artery (MCA). Ultimately a female newborn had to be delivered at 25+4 weeks of gestation due to non-reassuring fetal heart rate, despite preceding treatment by intrauterine transfusion (IUT). The purpo…