| Autor: |
Meredith S. Campbell, Amanda M. Craig, Jeff Reese, Alicia K. Crum, Soha S. Patel |
| Jazyk: |
angličtina |
| Rok vydání: |
2021 |
| Předmět: |
|
| Zdroj: |
Case Reports in Obstetrics and Gynecology, Vol 2021 (2021) |
| Druh dokumentu: |
article |
| ISSN: |
2090-6692 |
| DOI: |
10.1155/2021/2433252 |
| Popis: |
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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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