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Varicose Veins II: Diagnostic Studies and Interprofessional Care

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[Extra-abdominal umbilical vein varix. A case report].

Paula Soriano-Lillo, Carmen Padilla-V, Ana Rosa Blázquez-R

Ginecologia Y Obstetricia De Mexico

|August 20, 2015

Summary

An extra-abdominal umbilical vein varix, a rare umbilical cord abnormality, was diagnosed post-delivery. This case highlights challenges in prenatal diagnosis of such unusual vascular anomalies.

Area of Science:

Medical Imaging
Fetal Medicine
Pathology

Background:

Umbilical vein varix is a rare vascular anomaly, typically intra-abdominal.
Extra-abdominal location of this anomaly is exceptionally uncommon and poses diagnostic challenges.

Observation:

A case of undiagnosed umbilical vein varix during pregnancy is presented.
The abnormality was located in the extra-abdominal portion of the umbilical cord.
Diagnosis was confirmed post-placental delivery via pathological examination of a fibrotic cystic structure.

Findings:

The case involved a 36+6 week gestation complicated by fetal heart rate abnormalities, necessitating an emergency cesarean section.
A good perinatal outcome was achieved despite the intrapartum complication.

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Post-delivery pathological study confirmed the diagnosis of an umbilical vein varix in the umbilical cord's middle third.

Implications:

This case underscores the rarity and diagnostic difficulty of extra-abdominal umbilical vein varix.
It emphasizes the importance of thorough pathological examination of the umbilical cord, even with a seemingly normal prenatal ultrasound.
Further research into improved prenatal diagnostic methods for rare umbilical cord anomalies is warranted.