Four “fine” messages from four kinds of “fine” forgotten ligaments of the anterior abdominal wall: have you heard their voices?

Yamaoka, T.; Kurihara, Kensuke; Kido, Aki; Togashi, Kaori

doi:10.1007/s11604-019-00869-5

Cited by 10 publications

(9 citation statements)

References 68 publications

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“…En estas conexiones es en las que se pueden observar anomalías innatas importantes, incluyendo el defecto congénito o no congénito de una hernia del ligamento falciforme. 1 Stehr menciona que, aquella TAC adonde se observe el intestino por arriba del hígado y centrado en el ligamento falciforme, debe hacer sospechar de esta irregularidad. 10 Los reportes concuerdan en que la liberación quirúrgica (ya sea con división completa o parcial del tejido conectivo) resuelven el cuadro clínico y no deja otras secuelas.…”

Section: Discussionunclassified

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Caso inusual: síndrome doloroso abdominal secundario a defecto congénito de ligamento redondo del hígado en paciente adulto

Galindo¹,

Bachmann²,

González³

et al. 2020

Revista Mexicana De Cirugía Endoscópica

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Section: Discussionunclassified

“…Tiene una incidencia reportada de 0.4%. 1 Más que una hernia, es una anomalía en la formación de dicha configuración (ligamento falciforme/redondo) y que lleva a aprisionar estructuras en desarrollo. Con dependencia de la misma, puede producirse un cuadro clínico variado y una edad de presentación distinta.…”

Section: Introductionunclassified

Caso inusual: síndrome doloroso abdominal secundario a defecto congénito de ligamento redondo del hígado en paciente adulto

Galindo¹,

Bachmann²,

González³

et al. 2020

Revista Mexicana De Cirugía Endoscópica

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“…Distal to the superior vesical artery branch, the OUAs run horizontally to the anterior abdominal wall along the lateral pelvic wall, and then turn craniomedially to the umbilicus. 16 At this point, they are usually found as a remnant in the internal aspect of the anterior abdominal wall. In the Figure 2 , Panel A shows the laparoscopic view of the left lateral compartment of the pelvis after lymphadenectomy and resection of deep endometriotic paracervical lesions.…”

Section: Methodsmentioning

confidence: 99%

Lateral Compartment Endometriosis is Associated with Retraction of the Obliterated Umbilical Artery

Crispi¹,

Salomão

Belém

et al. 2021

JSLS

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Background and Objectives: Based on laparoscopic views, we hypothesized that the involvement of the lateral compartment of the pelvis (LCP) by deep infiltrating endometriosis can be inferred by observing retraction of the obliterated umbilical artery (OUA) toward the abdominal cavity. We sought to verify the association between the retraction of the OUA and the presence of endometriosis in the ipsilateral LCP (parametrium, paracervix, or paracolpium). Methods: This preplanned, retrospective, cross-sectional study evaluated 76 women with deep endometriosis at a private referral center. Using magnetic resonance imaging, the retraction of OUA was represented by its distance from the rectus abdominis (four different measurements were used). The diameter of the OUA was also measured and considered. T2-weighted imaging of the pelvis were obtained in two planes (sagittal and axial) and from two reference points: the proximal angle of the artery (measurement 1) and a point immediately above (measurement 2). The measurements were assessed through an exploratory multivariate principal component analysis. The associations were tested using the bivariate, non-parametric statistical Mann-Whitney U test. Results: The presence of endometriosis of all LCP examined was 34.2% (95% confidence interval: 26.8–41.7) with the highest percentage in the paracervix. The retraction of the OUA was greater in women with endometriosis in the ipsilateral LCP for all four measurements and was statistically significant for three of them: Sagittal 1 (p = .011), Sagittal 2 (p = .015), Axial 1 (p = .021), and Axial 2 (p = .093). The OUA diameter was not associated with its retraction (p = .392). Conclusion: Retraction of the OUA toward the abdominal cavity is associated with the presence of endometriosis in the ipsilateral paracervix.

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“…In the 6th week of the development, the umbilical vein enters the abdominal cavity of the fetus and a portion of it drains into the sagittal portion of the left portal vein curving like an L-shaped tube towards the right to supply nutrients to the liver; the other part of it drains into the ductus venosus and then to the proximal end of the inferior vena cava and then the right atrium [9,10]. Due to pressure changes after birth, the umbilical vein obliterates and its fibrous remnant forms a cord that becomes the round ligament of the liver [11].…”

Section: Embryonic Development Of the Umbilical Veinmentioning

confidence: 99%

The Value of Antenatal Ultrasound in Diagnosing Anatomical and Morphological Abnormalities of the Fetal Umbilical Vein

Zhang,

Zhao,

Wang

et al. 2023

Clin. Exp. Obstet. Gynecol.

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Background: Normally, fetal umbilical vein (UV) starts from the capillary network in the chorionic villus and accompanies the umbilical artery (UA). After leaving the placenta, it courses along within the umbilical cord. As the embryo develops, the proximal segment of both the right and left umbilical veins obliterate, and the distal end of the left umbilical vein enters the liver. The microvessels passing through the liver gradually merge and communicate with the hepatic sinus to form the ductus venosus, which then drains into the inferior vena cava (IVC). UV anatomical and morphological abnormalities in complex and variable forms often lead to poor fetal prognosis. In light of this, a thorough prenatal ultrasound providing detailed information on UV abnormalities is potentially clinically significant. Methods: The sonographic features and clinical data of fetuses diagnosed with abnormal umbilical vein anatomy and morphology by antenatal ultrasonography from January 2016 to December 2021 in Sichuan Provincial Maternity and Child Health Care Hospital were retrospectively analyzed. Results: A total of 403 fetuses were included in the study. Among them, 318 cases were diagnosed with intrahepatic persistent right umbilical vein, and 44 cases experienced intracardiac malformations, 34 cases with extracardiac malformations, and 14 cases with both intra-and extracardiac malformations. Three cases had double umbilical veins; 1 case with intracardiac malformation and 1 case with extracardiac malformation. Eighty cases were diagnosed with umbilical vein varix (manifested as intra-or extra-abdominal vein varix or umbilical vein aneurysm); 2 cases with intracardiac malformations and 11 cases with extracardiac malformations. Two cases were diagnosed with umbilical vein stenosis, with neither of them combined with other malformations. Among the 403 fetuses, 86 received genetic testing with 8 of them confirmed with chromosomal abnormalities and the remaining 78 being normal. Of the 8 cases, 7 were diagnosed with persistent right umbilical vein (PRUV) and 1 had umbilical vein stenosis. As related to pregnancy outcomes, 386 fetuses had no obvious abnormalities being observed during the subsequent 2 years' follow-up and 17 cases were terminated due to serious malformations. Conclusions: Antenatal ultrasound assists in the accurate diagnosis of anatomical and morphological abnormalities of the umbilical vein. For cases with no other malformations or chromosomal abnormalities, a better prognosis can be expected and careful follow-up is required, whereas for those with severe malformations or chromosomal abnormalities, the prognosis is often poor. Prenatal ultrasound should provide careful examination to determine whether the fetal umbilical vein has normal anatomy and morphology, thereby supporting better prenatal outcomes.

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Four “fine” messages from four kinds of “fine” forgotten ligaments of the anterior abdominal wall: have you heard their voices?

Cited by 10 publications

References 68 publications

Caso inusual: síndrome doloroso abdominal secundario a defecto congénito de ligamento redondo del hígado en paciente adulto

Caso inusual: síndrome doloroso abdominal secundario a defecto congénito de ligamento redondo del hígado en paciente adulto

Lateral Compartment Endometriosis is Associated with Retraction of the Obliterated Umbilical Artery

The Value of Antenatal Ultrasound in Diagnosing Anatomical and Morphological Abnormalities of the Fetal Umbilical Vein

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