Single umbilical artery with antenatally diagnosed umbilical artery aneurysm in a newborn: a rare case report

Authors

  • Ankur Gupta Department of Pediatrics, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
  • Dhrithiman Shetty Department of Pediatrics, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India
  • Prijo Philip Department of Pediatrics, K.S. Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20163984

Keywords:

Persistent vitilo intestinal duct, Single umbilical artery, Umbilical artery aneurysm

Abstract

Single umbilical artery (SUA) is a situation when the umbilical cord contains only one umbilical artery rather than normally occurring two umbilical arteries. Presence of a SUA is associated with an increased risk of perinatal morbidity and mortality. This article reports a case of SUA with antenatally diagnosed umbilical artery aneurysm and its significance in a newborn. Histopathology report from site of insertion of umbilical cord to placenta had shown single umbilical artery aneurysm and persistent vitilo intestinal duct, dilated umbilical artery at insertion of the cord at placenta. ECHO report suggested 7 mm ostium secondum atrial septal defect, 3-4 mm patent ductus arteriosus, dilated right atria and ventricle, severe tricuspid regurgitation, severe pulmonary artery hypertension. Karyotyping was reported to be normal. Child had received treatment for congestive cardiac failure and intravenous antibiotics for Klebsiella sepsis. SUA with antenatally diagnosed umbilical artery aneurysm is a rare entity and has to be thoroughly investigated and treated.

References

Hill AJ, Tomas H, Strong J, Elliot JP, Perlow JH. Umbilical artery aneurysm. Am Congress Obst Gyne. 2010;116(2):559-62.

Prucka S, Clemens M, Craven C, Mcpherson E. Single umbilical artery, what it mean to the fetus? A case-control analysis of pathologically ascertained cases Genet Med. 2004;6:54-7.

Kaulbeck ML, Dodds L, Joseph KS, Van HM. Single umbilical artery risk factors and pregnancy outcome. Obstet Gynecol. 2010;16(4):843-50.

Lilja M. Infants with single umbilical artery studied in a national registry. Paediatr Perinat Epidemiol. 1991;5:27-36.

Doehrman P, Derksen BJ, Perlow JH, Clewell WH. Umbilical artery aneurysm: a case report, literature review, and management recommendations. Obstet Gynecol Surg. 2014;69:159-63.

Pomeranz A. Anomalies, abnormalities of the umbilicus. Pediatr Clin North Am. 2004;51(3):819-27.

Berg C, Geipel A, Germer U, Hofmann GK, Gembruch U. Prenatal diagnosis of umbilical cord aneurysm in a fetus with trisomy 18. Ultrasound Obstet Gynecol. 2001;17:79-81.

Nathalie MA, Vandevijer MD, Ralf HM, Connie CT. Aneurysm of umbilical vein: case report and review of literature. European J Obstet Gynecol Reproduct Biology. 2000;89:85-7.

Sepulveda W, Corral E, Kottmann C, Illanes S. Umbilical artery aneurysm: prenatal identification in three fetuses with trisomy 18. Ultrasound Obstet Gynecol. 2003;21:292-96.

Shen O, Reinus C, Baranov A, Rabinowitz R. Prenatal diagnosis of umbilical artery aneurysm: a potential lethal anomaly. J Ultrasound Med. 2007;26:251-3.

Leung AK, Robson WL. Single umbilical artery. A report of 159 cases. Am J Dis Child. 1989;43(1):108-11.

Bourne GL, Benirschke K. Absent umbilical artery, a review of 113 cases. Arch Dis Child. 1960;5:534-43.

Sandal G, Aslan N, Duman L, Ormeci AR. VACTERL association with a rare vertebral anomaly in a case of monochorionic twin. Genet Couns. 2014;25(2):231-5.

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Published

2016-12-21