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Titolo:
Prenatal diagnosis of umbilical cord aneurysm in a fetus with trisomy 18
Autore:
Berg, C; Geipel, A; Germer, U; Gloeckner-Hofmann, K; Gembruch, U;
Indirizzi:
Med Univ Lubeck, Dept Obstet & Gynecol, Div Prenatal Med, D-23538 Lubeck, Germany Med Univ Lubeck Lubeck Germany D-23538 atal Med, D-23538 Lubeck, Germany Med Univ Lubeck, Inst Pathol, D-23538 Lubeck, Germany Med Univ Lubeck Lubeck Germany D-23538 t Pathol, D-23538 Lubeck, Germany
Titolo Testata:
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
fascicolo: 1, volume: 17, anno: 2001,
pagine: 79 - 81
SICI:
0960-7692(200101)17:1<79:PDOUCA>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
MANAGEMENT; ANOMALIES; VEIN;
Keywords:
umbilical cord aneurysm; arteriovenous fistula; umbilical cord; trisomy 18; intrauterine growth restriction; Doppler sonography; ultrasound; fetus;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
17
Recensione:
Indirizzi per estratti:
Indirizzo: Berg, C Med Univ Lubeck, Dept Obstet & Gynecol, Div Prenatal Med, Ratzeburger Allee 160, D-23538 Lubeck, Germany Med Univ Lubeck Ratzeburger Allee 160 Lubeck Germany D-23538 many
Citazione:
C. Berg et al., "Prenatal diagnosis of umbilical cord aneurysm in a fetus with trisomy 18", ULTRASOUN O, 17(1), 2001, pp. 79-81

Abstract

Aneurysm of the umbilical cord is an extremely rare vascular anomaly. We report a case of umbilical cord aneurysm with arteriovenous fistula in a fetus with trisomy 18. At 34 weeks gestation a fetus with suspected intrauterine growth restriction and oligohydramnios was referred to our institution. Ultrasound examination was confirmatory and additionally revealed multiple markers for trisomy 18. In the umbilical cord an aneurysm was diagnosed characterized by a cystic lesion with hyperechogenic rim measuring 18 x 18 x 19 mm in diameter. Color flow and spectral Doppler examinations showed a letoriginating from one of the umbilical arteries entering the cystic lesion which appeared to be the diluted umbilical vein. Fetal blood sampling and subsequent karyotyping revealed trisomy 18 (47, XY. +18). The patient elected to terminate the pregnancy. Pathologic examination of placenta. and umbilical cord confirmed the prenatal diagnosis of umbilical cord aneurysm and arteriovenous fistula. Histology, demonstrated it strongly dilated umbilicalvein, one moderately dilated artery and a second, apparently normal artery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/09/20 alle ore 06:19:19