Large fetal intra‐abdominal umbilical vein varix: Antenatal sonographic diagnosis and follow‐up

2019 ◽  
Vol 45 (9) ◽  
pp. 1936-1940
Author(s):  
Sunil Gowda ◽  
Sunitha V. Chakkalakkoombil ◽  
Shree Bharathi ◽  
Deepak Barathi
Keyword(s):  
Umbilical Vein ◽  
Sonographic Diagnosis ◽  
Umbilical Vein Varix

Isolated fetal umbilical vein varix-prenatal sonographic diagnosis and suggested management

2009 ◽  
Vol 29 (3) ◽  
pp. 229-233 ◽  
Author(s):  
Alina Weissmann-Brenner ◽  
Michal J. Simchen ◽  
Orit Moran ◽  
Eran Kassif ◽  
Reuven Achiron ◽  
...  
Keyword(s):  
Umbilical Vein ◽  
Sonographic Diagnosis ◽  
Umbilical Vein Varix

Three- and four-dimensional sonographic diagnosis of fetal intra-abdominal umbilical vein varix

2013 ◽  
Vol 41 (2) ◽  
pp. 245-246
Author(s):  
Bernadette S. Austria ◽  
Uiko Hanaoka ◽  
Miki Sato ◽  
Toshiyuki Hata
Keyword(s):  
Umbilical Vein ◽  
Sonographic Diagnosis ◽  
Umbilical Vein Varix

Two- and three-dimensional sonographic diagnosis of fetal intra-abdominal umbilical vein varix: A case report

2012 ◽  
Vol 40 (9) ◽  
pp. 586-589 ◽  
Author(s):  
Man Lu ◽  
Nirmal Kakani ◽  
Cesare Romagnoli ◽  
Linxian Yue ◽  
Wen Xiong ◽  
...  
Keyword(s):  
Case Report ◽  
Umbilical Vein ◽  
Three Dimensional ◽  
Sonographic Diagnosis ◽  
Umbilical Vein Varix

scholarly journals Intra-Abdominal Umbilical Vein Varix – A Case Report

2015 ◽  
Vol 01 (01) ◽  
pp. 012-014
Author(s):  
Sachin Agrawal ◽  
Shraddha Singhania ◽  
Pooja Singhania ◽  
Kumar Vaibhav
Keyword(s):  
Case Report ◽  
Umbilical Vein ◽  
Preterm Births ◽  
Elective Cesarean Section ◽  
Fetal Hydrops ◽  
Venous Flow ◽  
Color Flow ◽  
Elective Cesarean ◽  
Umbilical Vein Varix

AbstractThe 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

Diagnosis and management of congenital umbilical arteriovenous malformation

2020 ◽  
pp. 1-3
Author(s):  
Shweta Bakhru ◽  
Vijayanand Jamalpuri ◽  
Nageswara Rao Koneti
Keyword(s):  
Arteriovenous Malformation ◽  
Primary Pulmonary Hypertension ◽  
Transcatheter Closure ◽  
Umbilical Vein ◽  
Pulmonary Artery Hypertension ◽  
Vascular Plug ◽  
Severe Respiratory Distress ◽  
Ct Angiogram ◽  
High Output

Abstract An 8-day-old neonate was presented with severe respiratory distress and diagnosed as primary pulmonary hypertension of the newborn on functional echocardiogram. Evaluation showed bounding pulse, enlarged umbilical cord, and bruit over the periumbilical region. Transthoracic echocardiography and CT angiogram showed a large fistulous communication between the umbilical vein and artery suggestive of congenital umbilical arteriovenous malformation leading to high-output cardiac failure and pulmonary artery hypertension. The patient was stabilised with medications and ventilation. Transcatheter closure of communication was done using coils, vascular plug, and KONAR-MFTM device. The patient improved from heart failure soon after the procedure and thriving normally at 6 months of follow-up.

Massive Extra-Abdominal Umbilical Vein Varix: A Case Report

2021 ◽  
pp. 1-4
Author(s):  
Josef Jackson ◽  
Eumenia Castro ◽  
Michael A. Belfort ◽  
Alireza A. Shamsirshaz ◽  
Ahmed A. Nassr ◽  
...  
Keyword(s):  
Case Report ◽  
Umbilical Cord ◽  
Neonatal Period ◽  
Umbilical Vein ◽  
Fetal Distress ◽  
Fetal Anemia ◽  
Pathologic Examination ◽  
Fetal Demise ◽  
Increased Risk ◽  
Umbilical Vein Varix

Umbilical vein varices are rare umbilical cord anomalies that typically occur intra-abdominally. Extra-abdominal umbilical vein varices are exceedingly rare and usually diagnosed postnatally on gross pathologic examination. Umbilical vein varices have been associated with increased risk of fetal anemia, cardiac abnormalities, and intrauterine fetal demise. This case report discusses a patient who presented with a massive extra-abdominal umbilical vein varix, whose infant was ultimately delivered due to fetal distress and died in the neonatal period. This report also discusses associated fetal conditions and guidelines for antenatal testing and surveillance of known umbilical vein varices.

Impact of fetal haemodynamics on surgical and neurodevelopmental outcomes in patients with Ebstein anomaly and tricuspid valve dysplasia

2022 ◽  
pp. 1-12
Author(s):  
Min Bao ◽  
Edgar Jaeggi ◽  
Liqun Sun ◽  
Fu-Tsuen Lee ◽  
Renee Sananes ◽  
...  
Keyword(s):  
Tricuspid Valve ◽  
Motor Skills ◽  
Umbilical Vein ◽  
Brain Mri ◽  
Ascending Aorta ◽  
Neurodevelopmental Outcomes ◽  
Ebstein Anomaly ◽  
Descending Aorta ◽  
Neurodevelopmental Delay

Abstract Objectives: To evaluate the impact of fetal haemodynamics on surgical and neurodevelopmental outcomes in severe Ebstein anomaly and tricuspid valve dysplasia. Methods: Thirty-four fetuses with Ebstein anomaly/tricuspid valve dysplasia were referred from 2013 to 2019 for fetal echocardiography and clinical management. Nineteen fetuses with Ebstein anomaly/tricuspid valve dysplasia and 30 controls underwent cardiovascular magnetic resonance to quantify the fetal blood flow and to calculate cerebral oxygen delivery (cDO2) and consumption (cVO2). The 3D steady-state free precession acquisition was used to measure fetal brain volume. Surgical outcome, brain MRI, and neurodevelopmental follow-up were reviewed. Results: Twenty-six fetuses were live born (76%) and survival (65%) at a mean follow-up of 4 years. Nine fetuses had a brain MRI before discharge, and all had clinically silent injuries and volume loss. At 18 months, five single-ventricle patients had a neurodevelopmental delay in cognition and language (mean percentile: 11th), with gross-motor skills more affected than fine-motor skills (mean percentiles: 4th and 34th). Fetuses with Ebstein anomaly/tricuspid valve dysplasia had smaller brains, lower combined ventricular output, ascending aorta, superior caval vien and umbilical vein flows, lower oxygen saturation in ascending aorta and superior caval vien, lower cDO2 and cVO2 (p < 0.05). Superior caval vien/combined ventricular output and descending aorta/combined ventricular output ratios were lower in fetuses with circular shunt (p < 0.05). Fetuses requiring the Starnes procedure tended to have smaller brains, lower combined ventricular output, superior caval vien, descending aorta, and umbilical vein flows. Conclusions: All patients with Ebstein anomaly/tricuspid valve dysplasia are at high risk of neurodevelopmental delay and warrant follow-up. Fetal cardiovascular magnetic resonance revealed impaired brain growth with diminished cerebral blood flow and cDO2, the extenting dependent on the severity of the haemodynamic compromise.

Outcome of pregnancy after prenatal diagnosis of umbilical vein varix.

2001 ◽  
Vol 20 (2) ◽  
pp. 135-139 ◽  
Author(s):  
A Rahemtullah ◽  
E Lieberman ◽  
C Benson ◽  
M E Norton
Keyword(s):  
Prenatal Diagnosis ◽  
Umbilical Vein ◽  
Umbilical Vein Varix
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