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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2015, Number 06

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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
Full text How to cite this article

Language: Spanish
References: 11
Page: 356-362
PDF size: 782.01 Kb.


Key words:

umbilical vein varix, perinatal outcome, intra-amniotic, extra-abdominal.

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

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  2. Mankuta D, Nadjari M, Pomp G. Isolated Fetal Intraabdominal Umbilical Vein Varix. J Ultrasound Med J 2011;30:273-276.

  3. Deront-Bourdin D, et al. Thrombose d’un anèurysme de la vein ombilicale. Umbilical vein varix thrombosis. Gynécologie Obstétriq & Fertilité 2014;42:448-450.

  4. 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;

  5. Allen SL, Bagnall C, Roberts AB, Teele RL. Thrombosing umbilical vein varix. J Ultrasound Med 1998;17:189-192.

  6. 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.

  7. 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.

  8. 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.

  9. Guía de Práctica Clínica de Atención al Parto Normal. Sistema Nacional de Salud, 2010. Anexo 13

  10. Kanenishi K, Nitta EA, Mashima MA, et al. Velive imaging of intra-amniotic umbilical vein varix with thrombosis. Placenta 2013;34:1110-1112.

  11. Sepulveda W, Mackenna A, Sanchez J, et al. Fetal prognosis in varix of the intrafetal umbilical vein. J Ultrasound Med 1998;3:189-192.




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Ginecol Obstet Mex. 2015;83