DOI: https://dx.doi.org/10.18203/2320-1770.ijrcog20196067
Published: 2019-12-26

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.

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.


Keywords


Four vessels, Panzi hospital, Umbilical cord

Full Text:

PDF

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.




Bookmark and Share