Document Detail

Umbilical artery aneurysm.
MedLine Citation:
PMID:  20664454     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Umbilical artery aneurysm is a rare condition associated with increased risk for aneuploidy and fetal demise. CASE: We report a case of umbilical artery aneurysm discovered at 27 weeks of gestation in one fetus of a dichorionic, diamniotic twin pregnancy. The patient was hospitalized to monitor for expansion of the aneurysm. Corticosteroids were administered, and, after genetic amniocentesis revealed a normal karyotype, cesarean delivery was performed at 28 2/7 weeks of gestation. Pathologic examination confirmed an umbilical artery aneurysm in the cord of the affected fetus. CONCLUSION: Given the high incidence of aneuploidy associated with umbilical artery aneurysm, it is important to consider karyotype analysis of the affected fetus. If a normal karyotype is identified, early delivery may be warranted to decrease the risk of fetal demise.
Alexandria J Hill; Thomas H Strong; John P Elliott; Jordan H Perlow
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  116 Suppl 2     ISSN:  1873-233X     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-28     Completed Date:  2010-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  559-62     Citation Subset:  AIM; IM    
Department of Obstetrics and Gynecology, Banner Good Samaritan Medical Center, Phoenix, Arizona.
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MeSH Terms
Aneurysm / complications*,  ultrasonography
Chromosome Disorders / complications,  diagnosis*
Diseases in Twins
Genetic Counseling
Infant, Newborn
Pregnancy Outcome
Ultrasonography, Prenatal
Umbilical Arteries*

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