Diagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation

Background. Fetal umbilical vein aneurysm is an uncommon anomaly without clear guidelines regarding the management of these pregnancies. Case Presentation. We describe an ultrasound diagnosis of this condition involving a 38-year-old multigravid woman who presented at 30 weeks and 3 days gestation w...

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Autores principales:	Meredith S. Campbell, Amanda M. Craig, Jeff Reese, Alicia K. Crum, Soha S. Patel
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/b07f23a3b88b4593af75bb8787a8bd1f
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spelling	oai:doaj.org-article:b07f23a3b88b4593af75bb8787a8bd1f2021-11-29T00:56:52ZDiagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation2090-669210.1155/2021/2433252https://doaj.org/article/b07f23a3b88b4593af75bb8787a8bd1f2021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/2433252https://doaj.org/toc/2090-6692Background. Fetal umbilical vein aneurysm is an uncommon anomaly without clear guidelines regarding the management of these pregnancies. Case Presentation. We describe an ultrasound diagnosis of this condition involving a 38-year-old multigravid woman who presented at 30 weeks and 3 days gestation with severe fetal growth restriction, reverse end-diastolic flow on umbilical artery dopplers, elevated ductus venosus doppler, and an umbilical vein aneurysm. Due to nonreassuring fetal assessment in the setting of an umbilical vein aneurysm, she underwent a cesarean delivery with a favorable neonatal outcome. Conclusions. There are currently no guidelines for the management of an umbilical vein aneurysm. This case demonstrates a successful multidisciplinary approach for creating a plan of care focused on achieving a favorable outcome for a fetus with a large umbilical vein aneurysm. The approach took into account timing of delivery given the potential for fetal morbidity and mortality, while factoring in the risk of prematurity.Meredith S. CampbellAmanda M. CraigJeff ReeseAlicia K. CrumSoha S. PatelHindawi LimitedarticleGynecology and obstetricsRG1-991ENCase Reports in Obstetrics and Gynecology, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Gynecology and obstetrics RG1-991
spellingShingle	Gynecology and obstetrics RG1-991 Meredith S. Campbell Amanda M. Craig Jeff Reese Alicia K. Crum Soha S. Patel Diagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation
description	Background. Fetal umbilical vein aneurysm is an uncommon anomaly without clear guidelines regarding the management of these pregnancies. Case Presentation. We describe an ultrasound diagnosis of this condition involving a 38-year-old multigravid woman who presented at 30 weeks and 3 days gestation with severe fetal growth restriction, reverse end-diastolic flow on umbilical artery dopplers, elevated ductus venosus doppler, and an umbilical vein aneurysm. Due to nonreassuring fetal assessment in the setting of an umbilical vein aneurysm, she underwent a cesarean delivery with a favorable neonatal outcome. Conclusions. There are currently no guidelines for the management of an umbilical vein aneurysm. This case demonstrates a successful multidisciplinary approach for creating a plan of care focused on achieving a favorable outcome for a fetus with a large umbilical vein aneurysm. The approach took into account timing of delivery given the potential for fetal morbidity and mortality, while factoring in the risk of prematurity.
format	article
author	Meredith S. Campbell Amanda M. Craig Jeff Reese Alicia K. Crum Soha S. Patel
author_facet	Meredith S. Campbell Amanda M. Craig Jeff Reese Alicia K. Crum Soha S. Patel
author_sort	Meredith S. Campbell
title	Diagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation
title_short	Diagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation
title_full	Diagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation
title_fullStr	Diagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation
title_full_unstemmed	Diagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation
title_sort	diagnosis of an umbilical vein aneurysm at 30 weeks gestation
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/b07f23a3b88b4593af75bb8787a8bd1f
work_keys_str_mv	AT meredithscampbell diagnosisofanumbilicalveinaneurysmat30weeksgestation AT amandamcraig diagnosisofanumbilicalveinaneurysmat30weeksgestation AT jeffreese diagnosisofanumbilicalveinaneurysmat30weeksgestation AT aliciakcrum diagnosisofanumbilicalveinaneurysmat30weeksgestation AT sohaspatel diagnosisofanumbilicalveinaneurysmat30weeksgestation
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Diagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation

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