A Case Report of Umbilical Vein Varix with Thrombosis: Prenatal Ultrasonographic Diagnosis and Management
Umbilical vein varix (UVV) is a very rare cord anomaly associated with intrauterine fetal death and fetal anomaly. We describe a case of extra-abdominal UVV with thrombosis. UVV was diagnosed at 23 weeks of gestation for the first time by ultrasonographic screening. Peak systolic velocity (PSV) near...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/7154560 |
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| author | Yuuki Matsumoto Akihiro Yanai Saori Kamei Ayaka Yamaguchi Hirokazu Nakamine Kohei Fujita |
| author_facet | Yuuki Matsumoto Akihiro Yanai Saori Kamei Ayaka Yamaguchi Hirokazu Nakamine Kohei Fujita |
| author_sort | Yuuki Matsumoto |
| collection | DOAJ |
| description | Umbilical vein varix (UVV) is a very rare cord anomaly associated with intrauterine fetal death and fetal anomaly. We describe a case of extra-abdominal UVV with thrombosis. UVV was diagnosed at 23 weeks of gestation for the first time by ultrasonographic screening. Peak systolic velocity (PSV) near the UVV was partially increased up to about 100 cm/s, and blood flow was not detected in one of the umbilical arteries at 28 weeks of gestation. Therefore, the mother was hospitalized to monitor alterations of the PSV of the UVV frequently. Because the PSV of the UVV showed a sudden rapid increase up to about 150 cm/s at 32 weeks of gestation, she underwent emergent cesarean section on the same day to avoid sudden umbilical cord occlusion. The infant’s birth weight was 1,744 g, and the Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. The pathological examination showed UVV with thrombosis and an occlusion in one of the umbilical arteries. The neonatal laboratory data showed no coagulopathy. Based on our experience with this case, frequent ultrasonographic examination should be performed to detect the acute thrombosis in the case of extra-abdominal UVV, especially during the preterm period. |
| format | Article |
| id | doaj-art-28c068216f69418199b72b2171902592 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-28c068216f69418199b72b21719025922025-02-03T01:12:27ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/71545607154560A Case Report of Umbilical Vein Varix with Thrombosis: Prenatal Ultrasonographic Diagnosis and ManagementYuuki Matsumoto0Akihiro Yanai1Saori Kamei2Ayaka Yamaguchi3Hirokazu Nakamine4Kohei Fujita5Department of Obstetrics and Gynecology, The Japan Baptist Hospital, Kyoto, JapanDepartment of Obstetrics and Gynecology, The Japan Baptist Hospital, Kyoto, JapanDepartment of Obstetrics and Gynecology, The Japan Baptist Hospital, Kyoto, JapanDepartment of Obstetrics and Gynecology, The Japan Baptist Hospital, Kyoto, JapanDepartment of Pathology, The Japan Baptist Hospital, Kyoto, JapanDepartment of Obstetrics and Gynecology, The Japan Baptist Hospital, Kyoto, JapanUmbilical vein varix (UVV) is a very rare cord anomaly associated with intrauterine fetal death and fetal anomaly. We describe a case of extra-abdominal UVV with thrombosis. UVV was diagnosed at 23 weeks of gestation for the first time by ultrasonographic screening. Peak systolic velocity (PSV) near the UVV was partially increased up to about 100 cm/s, and blood flow was not detected in one of the umbilical arteries at 28 weeks of gestation. Therefore, the mother was hospitalized to monitor alterations of the PSV of the UVV frequently. Because the PSV of the UVV showed a sudden rapid increase up to about 150 cm/s at 32 weeks of gestation, she underwent emergent cesarean section on the same day to avoid sudden umbilical cord occlusion. The infant’s birth weight was 1,744 g, and the Apgar scores were 8 and 9 at 1 and 5 minutes, respectively. The pathological examination showed UVV with thrombosis and an occlusion in one of the umbilical arteries. The neonatal laboratory data showed no coagulopathy. Based on our experience with this case, frequent ultrasonographic examination should be performed to detect the acute thrombosis in the case of extra-abdominal UVV, especially during the preterm period.http://dx.doi.org/10.1155/2019/7154560 |
| spellingShingle | Yuuki Matsumoto Akihiro Yanai Saori Kamei Ayaka Yamaguchi Hirokazu Nakamine Kohei Fujita A Case Report of Umbilical Vein Varix with Thrombosis: Prenatal Ultrasonographic Diagnosis and Management Case Reports in Obstetrics and Gynecology |
| title | A Case Report of Umbilical Vein Varix with Thrombosis: Prenatal Ultrasonographic Diagnosis and Management |
| title_full | A Case Report of Umbilical Vein Varix with Thrombosis: Prenatal Ultrasonographic Diagnosis and Management |
| title_fullStr | A Case Report of Umbilical Vein Varix with Thrombosis: Prenatal Ultrasonographic Diagnosis and Management |
| title_full_unstemmed | A Case Report of Umbilical Vein Varix with Thrombosis: Prenatal Ultrasonographic Diagnosis and Management |
| title_short | A Case Report of Umbilical Vein Varix with Thrombosis: Prenatal Ultrasonographic Diagnosis and Management |
| title_sort | case report of umbilical vein varix with thrombosis prenatal ultrasonographic diagnosis and management |
| url | http://dx.doi.org/10.1155/2019/7154560 |
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