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Massive Extra-Abdominal Umbilical Vein Varix: A Case Report
Josef Jackson1, Eumenia Castro2, Michael A Belfort1
1Department of Obstetrics and Gynecology, Baylor College of Medicine and Texas Children's Hospital-Pavilion for Women, Houston, Texas, USA.
Fetal Diagnosis and Therapy
|January 20, 2021
Summary
Extra-abdominal umbilical vein varices are rare umbilical cord anomalies. This case report details a massive varix, fetal distress, and neonatal death, highlighting associated risks and surveillance needs.
Area of Science:
- Perinatology
- Fetal Medicine
- Pathology
Background:
- Umbilical vein varices (UVV) are uncommon umbilical cord anomalies.
- Most UVV are intra-abdominal; extra-abdominal UVV are exceptionally rare.
- UVV are linked to fetal anemia, cardiac defects, and intrauterine fetal demise.
Observation:
- A case of a massive extra-abdominal umbilical vein varix is presented.
- The infant experienced fetal distress and died during the neonatal period.
- The condition was diagnosed postnatally via gross pathologic examination.
Findings:
- Massive extra-abdominal umbilical vein varix presents significant fetal risks.
- Associated fetal conditions require careful antenatal monitoring.
- Neonatal outcomes can be poor in severe cases.
Implications:
- This case underscores the rarity and severity of extra-abdominal UVV.
- Guidelines for antenatal testing and surveillance are crucial for managing UVV.
- Further research may elucidate optimal management strategies for these rare anomalies.
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