May-Hegglin anomaly in a pregnancy complicated by intrauterine growth restriction and ambiguous genitalia

Objective: Thrombocytopenia as a hematologic disorder complicates up to 4% of all pregnancies. May-Hegglin anomaly is a rare cause of low platelets in pregnancy. Methods: A case of May-Hegglin anomaly complicating pregnancy a nd intrauterine growth restriction in a fetus with ambiguous genitalia is d escribed. Results: The antepartum and intrapartum diagnosis and management of a patient diagnosed with May-Hegglin anomaly is discussed. The involveme nt and consultation of a perinatologist, neonatologist, internist, and anes thesiologist is reviewed, with emphasis on the mode of delivery. Conclusion : The potential maternal and fetal complications associated with May-Heggli n anomaly warrant early pregnancy diagnosis and access to a tertiary care f acility.