Partially four-vessel umbilical cord: about a diagnosed case at Panzi hospital

Boengandi Walala D.; Nyakio Ngeleza O.; Mukanire Ntakwinja B.; Katenga Bosunga G.; Mukwege Mukengere D.

doi:10.18203/2320-1770.ijrcog20196067

Authors

Boengandi Walala D. Department of Gynecology and Obstetrics, School of Medicine, Panzi Hospital, Evangelical University in Africa, Bukavu, DR Congo
Nyakio Ngeleza O. Department of Gynecology and Obstetrics, School of Medicine, Panzi Hospital, Evangelical University in Africa, Bukavu, DR Congo
Mukanire Ntakwinja B. Department of Gynecology and Obstetrics, School of Medicine, Panzi Hospital, Evangelical University in Africa, Bukavu, DR Congo
Katenga Bosunga G. Department of Gynecology and Obstetrics, Kisangani University Clinics, School of Medicine, Kisangani University, Kisangani, DR Congo
Mukwege Mukengere D. Department of Gynecology and Obstetrics, School of Medicine, Panzi Hospital, Evangelical University in Africa, Bukavu, DR Congo

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20196067

Keywords:

Four vessels, Panzi hospital, Umbilical cord

Abstract

Umbilical cord malformations are described in the literature; and it's about the umbilical artery and the umbilical vein. There are sometimes cases of a single umbilical artery. In contrast, the number of vessels in the umbilical cord can increase by three to four. A supernumerary umbilical vein is particularly rare and is usually found in association with congenital anomalies; sometimes the supernumerary umbilical vein is associated with no malformation. We report a case of umbilical cord having a four-vessel part diagnosed at the maternity ward of Panzi Hospital, in the town of Bukavu, South Kivu, DR Congo.

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References

Nyakio N, Morphological and biometric characteristics of term fetal appendages and their obstetric implications. Final thesis. National University of Rwanda; 2009.

Hua M, Odibo AO, Macones GA, Roehl KA, Crane JP, Cahill AG. Single umbilical artery and its associated findings. Obstet Gynecol. 2010;115(5):930-4.

Meyer WW, Lind J, Moinian M. An accessory fourth vessel of the umbilical cord. A preliminary study. Am J Obstet Gynecol. 1969;105:1063-8.

Painter D, Russell P. Four-vessel umbilical cord associated with multiple congenital anomalies. Obstet Gynecol. 1977;50:505-7.

Perez-Cosio C, Sheiner E, Abramowicz JS. Four-vessel umbilical cord: not always a dire prognosis. J Ultrasound Med. 2008;27:1389-91.

Lei T, Xie HN, Feng JL. Prenatal diagnosis of four-vessel umbilical cord with supernumerary vein varix: a case report and literature review. J Obstet Gynaecol Res. 2017;43:1200-4.

Fasouliotis SJ, Achiron R, Kivilevitch Z, Yagel S. The human fetal venous system: normal embryologic, anatomic, and physiologic characteristics and developmental abnormalities. J Ultrasound Med. 2002;21:1145-58.

Sadler TW. Langman’s medical embryology. Philadelphia: Wolters Kluwer Health/Lippincott Williams and Wilkins; 2012.

Blazer S, Zimmer EZ, Bronshtein M. Persistent intrahepatic right umbilical vein in the fetus: a benign anatomic variant. Obstet Gynecol. 2000;95:433-6.

Jeanty P. Persistent right umbilical vein: an ominous prenatal finding? Radiol. 1990;177:735-8.

Schimmel MS, Eidelman AI. Supernumerary umbilical vein resulting in a four-vessel umbilical cord. Am J Perinatol. 1998;15:299-301.

Avnet H, Shen O, Mazaki E, Yagel S, Daniel-Spiegel E. Four-vessel umbilical cord. Ultrasound Obstet Gynecol. 2011;38:604-6.

Canavan TP, Hill LM. Neonatal outcomes in fetuses with a persistent intrahepatic right umbilical vein. J Ultrasound Med. 2016;35:2237-41.

Murdoch DE. Umbilical-cord doubling. Report of a case. Obstet Gynecol. 1966;27:555-7.

Kurakazu M, Kurakazu M, Murata M, Miyamoto T, Takahashi Y, Hamasaki M, et al. A partial supernumerary umbilical vein: a case report. J Med Case Rreports. 2019;13(1):149.