Intraabdominal Umbilical Vein Dilatation and Term Delivery

Mantas, Nikitas; Sifakis, Stavros; Koukoura, Ourania; Avgoustinakis, E.; Koumantakis, E.

doi:10.1159/000106349

Cited by 7 publications

(3 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although isolated UV dilatation found in the 3rd trimester may seem to be unlikely to cause fetal problems, follow-up is needed due to the reported high-risk of sudden fetal death [26] . In our fetus, dilatation in the intra-abdominal portion of the UV was noted at 25 weeks.…”

Section: Discussionmentioning

confidence: 99%

Umbilical Cord Cysts of Allantoic and Omphalomesenteric Remnants with Progressive Umbilical Cord Edema: A Case Report

Kita¹,

Kikuchi²,

Miyashita

et al. 2009

Fetal Diagn Ther

View full text Add to dashboard Cite

We present a unique case of umbilical cord cysts of allantoic and omphalomesenteric remnants with progressive cord edema during pregnancy. Enlargement of the umbilical cord was observed initially at 28 weeks’ gestation; the cord cysts were first recognized at 17 weeks. At 37 weeks, a cesarean section was performed and a male infant weighing 2,300 g was delivered. The entire length of the umbilical cord was 80 cm; the 50-cm proximal portion was strikingly edematous and was 7 cm in diameter. On the 1st day of life, operative exploration was undertaken via an infraumbilical incision. It was evident that a patent urachus protruded from the bladder. The lesion was excised and the bladder was closed in a two-layer anastomosis. Histologically, the intestinal epithelium was connected to the transitional epithelium at the top of the urachus, indicating allantoic remnants fused with omphalomesenteric remnants. Such a case has not been reported previously. It was considered that the overflow of urine from allantoic remnants to omphalomesenteric remnants caused the extraordinary edema of the umbilical matrix. Based on our experience, finding progressive umbilical cord edema may indicate a patent urachus co-existing with allantoic and omphalomesenteric remnants.

show abstract

Section: Discussionmentioning

confidence: 99%

Umbilical Cord Cysts of Allantoic and Omphalomesenteric Remnants with Progressive Umbilical Cord Edema: A Case Report

Kita¹,

Kikuchi²,

Miyashita

et al. 2009

Fetal Diagn Ther

View full text Add to dashboard Cite

show abstract

“…The diameter of the umbilical vein normally increases linearly with gestational age. However, although FIUV is rare and the cause is currently unknown, the condition can be diagnosed by antenatal ultrasound and only about 100 cases have been reported in the literature so far [1]. Ultrasound FIUV varix findings indicate intra-abdominal dilation, which is usually an extrahepatic portion of the umbilical vein.…”

Section: Introductionmentioning

confidence: 99%

Clinical characteristics and outcomes of antenatal fetal intra-abdominal umbilical vein varix detection

Lee

Kim

et al. 2014

Obstet Gynecol Sci

View full text Add to dashboard Cite

ObjectiveThis study reviewed clinical characteristics of fetal intra-abdominal umbilical vein (FIUV) varices that were detected during antenatal ultrasound examinations.MethodsBetween January 2006 and January 2012, 121 cases of FIUV varices were detected and 7 cases were lost to follow-up. We retrospectively reviewed the medical records of 114 patients and neonates.ResultsFrom a total 96,553 ultrasound examinations in 43,995 pregnancies, 121 cases of FIUV varices were identified (2.8 per 1,000 pregnancies). Gestational age at diagnosis was 32.0 ± 2.9 weeks (range, 20.1-36.3 weeks), the mean diameter of the FIUV varix was 12.6 ± 2.1 mm (range, 8.0-21.0 mm) at initial diagnosis and the mean maximal diameter was 13.1 ± 2.3 mm (range, 8.0-21.0 mm) during follow-up. The most severe pregnancy complications included one case of intrauterine fetal death and another case of fetal hydrops. Associated fetal anomalies (n = 11, 9.6%) detected by ultrasonography included bilateral renal pelvis dilatation, ventriculomegaly, cryptorchidism, incomplete renal duplication and pulmonary sequestration. A total of 104 cases (91.2%) were delivered at term and 10 cases (8.8%) were preterm deliveries before 37 weeks of gestation.ConclusionFIUV varices that are not associated with fetal anomalies based on ultrasound examination during prenatal care have favorable pregnancy outcomes. Nevertheless, close fetal monitoring is recommended to decrease perinatal complications.

show abstract

“…The diameter of the umbilical vein normally increases linearly with gestational age. However, although FIUV is rare and the cause is currently unknown, the condition can be diagnosed by antenatal ultrasound (1) A fetal intra-abdominal umbilical vein varix has been described differently by different studies, few studies described it as an index portion of the umbilical vein that is at least 50% wider than the non dilated portion or dilatation of 9 mm or greater (2) whereas others have defined it as a measurement that is more than 2 SDs above the mean for gestational age. In recent reports, the neonatal prognosis was found to be substantially better than that reported in older studies.…”

Section: Introductionmentioning

confidence: 99%

Intra-Abdominal Umbilical Vein Varix – A Case Report

Agrawal

Singhania

Singhania³

et al. 2015

IJRSMS

View full text Add to dashboard Cite

The incidence of the fetal intra-abdominal umbilical vein varix condition is very rare and has been associated with fetal hydrops, IUGR and still birth A 26-year-old primigravida was referred for routine antenatal scan. The scan at 30 weeks showed an intra-abdominal ovoid structure superior to the fetal bladder. Color flow Doppler revealed venous flow in continuity with the umbilical vein. A diagnosis of umbilical varix was made. The venous flow was present throughout the lesion, suggesting the absence of thrombi. There was no evidence of fetal hydrops. Subsequent scans at regular intervals showed no increase in size of the umbilical varix. The patient had an uneventful elective cesarean section at 39 weeks. Postnatal assessment and a follow-up neonatal cardiac echo scan were normal. Our case supports the new emerging evidence that pregnancy outcome in cases of isolated fetal umbilical vein varix is generally good. Caution must be exercised against unnecessary early induction and costly preterm births

show abstract

Intraabdominal Umbilical Vein Dilatation and Term Delivery

Cited by 7 publications

References 22 publications

Umbilical Cord Cysts of Allantoic and Omphalomesenteric Remnants with Progressive Umbilical Cord Edema: A Case Report

Umbilical Cord Cysts of Allantoic and Omphalomesenteric Remnants with Progressive Umbilical Cord Edema: A Case Report

Clinical characteristics and outcomes of antenatal fetal intra-abdominal umbilical vein varix detection

Intra-Abdominal Umbilical Vein Varix – A Case Report

Contact Info

Product

Resources

About