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Case Reports
. 2016 Jan;10(1):QD01-3.
doi: 10.7860/JCDR/2016/14800.7030. Epub 2016 Jan 1.

Prenatal Diagnosis of Umbilical Artery Aneurysm with Good Fetal Outcome and Review of Literature

Neetha M Vyas  1 , Lakshmi Manjeera  2 , Supriya Rai  2 , Sharath Devdas  3
Affiliations
Case Reports

Prenatal Diagnosis of Umbilical Artery Aneurysm with Good Fetal Outcome and Review of Literature

Neetha M Vyas et al. J Clin Diagn Res. 2016 Jan.

Abstract

Umbilical artery aneurysm is a rare condition. Till date, 14 cases are reported and only 4 had good fetal outcome. Umbilical artery aneurysm is associated with high risk of fetal aneuploidy and fetal demise. Though umbilical cord anomalies are rare, they are associated with significant fetal morbidity and mortality. We report a case of umbilical artery aneurysm which was detected at 33 weeks of gestation on ultrasonography as an anechoic cyst close to cord insertion with turbulent blood flow in it. The patient was hospitalized and with intensive fetal surveillance and early delivery, a live born fetus was achieved. Baby's karyotype was normal. Pathologic examination confirmed umbilical artery aneurysm close to cord insertion.

Keywords: Fetal morbidity; Trisomy; Umbilical cord anomaly.

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Figures

[Table/Fig-1]:
[Table/Fig-1]:
Anechoic cyst near the cord insertion to the placenta and doppler showing turbulent flow in it
[Table/Fig-2]:
[Table/Fig-2]:
Gross picture of umbilical artery aneurysm close to cord insertion and wharton’s jelly (pseudocyst) adjacent to it
[Table/Fig-3]:
[Table/Fig-3]:
Two vessel umbilical cord
[Table/Fig-4]:
[Table/Fig-4]:
Microscopic picture of umbilical artery aneurysm
See this image and copyright information in PMC

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