Visualization of intrahepatic portosystemic shunt and intra-abdominal umbilical vein varix using fetal ultrasonography with HDlive flow imaging

Kawamura, Hiroshi; Yashiro, Kenji; Matsuo, Seiya; Okuno, Takashi; Nishino, Chihiro; Takahashi, Jin; Yoshida, Yoshio

doi:10.1007/s10396-019-00969-9

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…In the study by Byers et al [5], out of 52 cases, associated anomalies were seen in 28.8% of fetuses and trisomy 21 was diagnosed in two fetuses (5.8%). Recently, Kawamura reported the coexistence of a portosystemic shunt with umbilical vein varix [11]. There are two studies [3,6] on the fetal outcome in isolated FIUVV.…”

Section: Discussionmentioning

confidence: 99%

FIUVV: Associations and Outcome

Alam¹,

Goswami²,

Joshi³

et al. 2022

Journal of Fetal Medicine

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To investigate the ultrasound characteristics, associations and obstetric outcomes in pregnancies with intra-abdominal umbilical vein varix of the fetus. This was a retrospective cohort study conducted over 2 years from March 2019 to February 2021. The data collected were demographic characteristics, varix characteristics, obstetric complications (fetal growth restriction/IUFD) and neonatal outcomes. Descriptive statistics (means, standard deviations, and percentages [%]) were calculated using SPSS, version 21.0 (SPSS Inc, Chicago, USA). Over the period of 2 years, six cases of FIUVV were diagnosed putting the incidence of FIUVV at 5/10000 pregnancies. The incidence of isolated FIUVV was 4.4/10000 cases. Mean gestational age at diagnosis was 25 weeks 3 days with earliest diagnosis at 19w1D. Mean varix size was 11.85 mm ± 2.28 mm (range 8.9–14.8 mm). No incidence of turbulence or thrombus formation within the varix was seen in the current study. One case had absent DV with anomalous drainage of the umbilical vein in to the IVC along with pleural effusion, polyhydramnios and increased nuchal fold thickness. Perinatal death after planned LSCS at term was noted in this pregnancy. One case had rapid dilatation of the varix from 9.5 at 19 weeks to 15.4 mm at 27 weeks. The patient reported sudden IUFD at 33 weeks. The association of FIUVV with the adverse obstetrical outcomes was seen in some cases during the current study. Increased surveillance to look for rapid dilatation/ turbulence/ thrombosis may prevent adverse perinatal outcomes.

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Section: Discussionmentioning

confidence: 99%

FIUVV: Associations and Outcome

Alam¹,

Goswami²,

Joshi³

et al. 2022

Journal of Fetal Medicine

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Lessons from Umbilical Vein Varix

Sharma¹,

Rana²,

Isher³

et al. 2020

International Journal of Infertility &Amp; Fetal Medicine

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Umbilical vein varix is an uncommon vascular anomaly. The varix may be the initial presentation of an underlying congenital portosystemic shunt adversely affecting the fetus as we demonstrate in this case. To be able to label a varix as an isolated finding necessitates a thorough evaluation of the fetal venous system as well. Serial ultrasound of the fetus can help in detecting changes in the varix, thrombosis, growth restriction, as well as heart failure if there is another underlying venous anomaly. Early postnatal imaging is essential to exclude other associations to optimize the neonatal outcome. The prognosis is good if it is an isolated finding. How to cite this article: Sharma KA, Kour Isher H, Dadhwal V, et al. Lessons from Umbilical Vein Varix. Int J Infertil Fetal Med 2020;11(1):30–32.

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Visualization of intrahepatic portosystemic shunt and intra-abdominal umbilical vein varix using fetal ultrasonography with HDlive flow imaging

Cited by 2 publications

References 5 publications

FIUVV: Associations and Outcome

FIUVV: Associations and Outcome

Lessons from Umbilical Vein Varix

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