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Obstetrics » Obstetrics 2nd And 3rd Trimester
Umbilical vein varix
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Author(s) :
Sunil Kabra, MD
 
Presentation A 26 year old primigravida presented for a routine third trimester ultrasound. Fetal gestational age corresponded to 34 weeks.
 
 
 
Caption: View of the fetal abdomen
Description: A well defined, anechoic rounded cystic structure is seen in the fetal lower abdomen. The cystic structure shows communication with the intra-abdominal umbilical vein.
 
 
 
Caption: View of the fetal abdomen
Description: The cystic structure is seen again and is approximatley 4 cm in diameter.
 
 
 
Caption: Color Doppler image of the cystic structure
Description: The cystic structure that is in communication with the intra-abdominal umbilical vein completely fills with color.
 
 
 
Caption: Spectral Doppler analysis of the cystic structure
Description: On spectral Doppler, the cystic structure shows a venous flow pattern.
 
Differential Diagnosis Umbilical vein varix, aneursym
 
Final Diagnosis Umbilical vein varix
 
Follow Up The delivery was uneventful; however the baby died 2 days later. No cause was identified.
 
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