TY - JOUR
T1 - Adverse outcome of isolated fetal intra-abdominal umbilical vein varix despite close monitoring
AU - Valsky, D. V.
AU - Rosenak, D.
AU - Hochner-Celnikier, D.
AU - Porat, S.
AU - Yagel, S.
PY - 2004/6
Y1 - 2004/6
N2 - Background and Objectives: Fetal intra-abdominal umbilical vein (FIUV) varix-a focal dilatation of the umbilical vein-is an uncommon entity. Outcome varies from spontaneous resolution to fetal death. We describe here the experience of our center with this perplexing entity. Methods: Case series review of seven cases of isolated FIUV treated in a tertiary care center from 2000 to 2003. Results: We describe seven cases of isolated FIUV varix with varying natural history, follow-up strategies, and fetal outcome. In one of the cases, intrauterine fetal demise occurred despite close follow-up. Conclusions: We suggest that the course of FIUV is unpredictable, with a high fetal mortality rate. Close fetal monitoring with early delivery at 34 weeks' gestation should be advocated.
AB - Background and Objectives: Fetal intra-abdominal umbilical vein (FIUV) varix-a focal dilatation of the umbilical vein-is an uncommon entity. Outcome varies from spontaneous resolution to fetal death. We describe here the experience of our center with this perplexing entity. Methods: Case series review of seven cases of isolated FIUV treated in a tertiary care center from 2000 to 2003. Results: We describe seven cases of isolated FIUV varix with varying natural history, follow-up strategies, and fetal outcome. In one of the cases, intrauterine fetal demise occurred despite close follow-up. Conclusions: We suggest that the course of FIUV is unpredictable, with a high fetal mortality rate. Close fetal monitoring with early delivery at 34 weeks' gestation should be advocated.
KW - Intrauterine fetal demise
KW - Umbilical vein Doppler
KW - Umbilical vein varix
UR - http://www.scopus.com/inward/record.url?scp=3042819224&partnerID=8YFLogxK
U2 - 10.1002/pd.897
DO - 10.1002/pd.897
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C2 - 15229845
AN - SCOPUS:3042819224
SN - 0197-3851
VL - 24
SP - 451
EP - 454
JO - Prenatal Diagnosis
JF - Prenatal Diagnosis
IS - 6
ER -