Fetal Intra-Abdominal Umbilical Vein Varix in Monochorionic Twins: Is it Significant?

被引:0
作者
Ismail, Hamizah [1 ]
Chang, Yao-Lung [2 ,3 ]
Chang, Shuenn-Dyh [2 ,3 ]
Nusee, Zalina [1 ]
机构
[1] Int Islamic Univ Malaysia, Kulliyyah Med, Dept Obstet & Gynaecol, Kuantan 25100, Pahang, Malaysia
[2] Linkou Chang Gung Mem Hosp, Dept Obstet & Gynecol, Taoyuan 333, Hsien, Taiwan
[3] Chang Gung Univ, Coll Med, Taoyuan 333, Taiwan
来源
MALAYSIAN JOURNAL OF MEDICAL SCIENCES | 2012年 / 19卷 / 03期
关键词
intra-abdominal; multiple pregnancies; ultrasound; umbilical vein; varix;
D O I
暂无
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
A 30-years-old Taiwanese female in her second pregnancy spontaneously conceived a monochorionic twin pregnancy. A routine ultrasound at 27 weeks of gestation revealed a selective intrauterine growth restriction (sIUGR) fetus and an appropriate gestational age (AGA) fetus. The AGA fetus was found to have a fetal intra-abdominal umbilical vein (FIUV) varix. Serial ultrasounds showed no changes in the FIUV varix. 2 weeks later, the pregnancy progressed to twin-twin transfusion syndrome (TTTS). Repeated amnioreductions were required at 29 and 30 weeks gestation. The babies were delivered by caesarean section at 31 weeks due to fetal distress in the sIUGR fetus. Both fetuses survived the neonatal period with problems of prematurity. The FIUV varix disappeared a few days after delivery.
引用
收藏
页码:69 / 73
页数:5
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