2015, Number 06
<< Back Next >>
Ginecol Obstet Mex 2015; 83 (06)
Extra-abdominal umbilical vein varix. A case report
Soriano-Lillo P, Padilla-V C, Blázquez-R AR, Crespo V
Language: Spanish
References: 11
Page: 356-362
PDF size: 782.01 Kb.
ABSTRACT
The intra-abdominal umbilical vein varix is very uncommon, characterized
by a dilation of the vein, usually located between its entry into the
abdomen and completion in the portal system. However, the location
of this anomaly to extra-abdominal level is very unusual and more difficult
to diagnose by ultrasound.
Clinical case: We present a case undiagnosed during pregnancy, demonstrating
cord abnormality in its extra-abdominal portion and confirmed
later by the pathology study. It was a gestation of 36 + 6 weeks, ending
by performing emergency caesarean section for abnormal fetal heart rate,
with good perinatal outcome. The diagnosis was made after placental
delivery, by the existence of fibrotic cystic structure in the middle third
of the umbilical cord.
REFERENCES
Rojas B, Guardia L, Arribas T, et al. Variz de vena umbilical intra-abdominal: a propósito de dos casos. Ginecol Obstet Mex 2013;81:472-476.
Mankuta D, Nadjari M, Pomp G. Isolated Fetal Intraabdominal Umbilical Vein Varix. J Ultrasound Med J 2011;30:273-276.
Deront-Bourdin D, et al. Thrombose d’un anèurysme de la vein ombilicale. Umbilical vein varix thrombosis. Gynécologie Obstétriq & Fertilité 2014;42:448-450.
Beraud E, Rozel C, Milon J, Darnaut P. Umbilical Varix Vein: Importance of ante and post-natal monitorig by ultrasound. Diagnostic and Interventional Imaging 2014;
Allen SL, Bagnall C, Roberts AB, Teele RL. Thrombosing umbilical vein varix. J Ultrasound Med 1998;17:189-192.
Byers BD, Goharkhay N, Mateus J, Ward KK, Munn MB, Wen TS. Pregnancy outcome after ultrasound diagnosis of fetal intra-abdominal umbilical vein varix. Ultrasound Obstet Gynecol 2009;33:282-286.
White SP, Kofinas A. Prenatal Diagnosis and Management of Umbilical Vein Varix of the Intra-amniotic Portion of the Umbilical Vein. J Ultrasound Med 1994;13:992-994.
Fung TY, Leung TN, Leung TY, et al. Fetal intra-abdominal umbilical vein varix: what is the clinical significance? Ultrasound Obstet Gynecol 2005;25:149-154.
Guía de Práctica Clínica de Atención al Parto Normal. Sistema Nacional de Salud, 2010. Anexo 13
Kanenishi K, Nitta EA, Mashima MA, et al. Velive imaging of intra-amniotic umbilical vein varix with thrombosis. Placenta 2013;34:1110-1112.
Sepulveda W, Mackenna A, Sanchez J, et al. Fetal prognosis in varix of the intrafetal umbilical vein. J Ultrasound Med 1998;3:189-192.