Adverse outcome of isolated fetal intra-abdominal umbilical vein varix despite close monitoring

D. V. Valsky, D. Rosenak, D. Hochner-Celnikier, S. Porat, S. Yagel*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

39 Scopus citations

Abstract

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.

Original languageAmerican English
Pages (from-to)451-454
Number of pages4
JournalPrenatal Diagnosis
Volume24
Issue number6
DOIs
StatePublished - Jun 2004
Externally publishedYes

Keywords

  • Intrauterine fetal demise
  • Umbilical vein Doppler
  • Umbilical vein varix

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