umbilical arterial aneurysm

An umbilical arterial aneurysm (UAA) is an extremely rare but potentially lethal vascular anomaly which is usually detected in utero.

Pathology

Location

It tends to favor the placental end of the umbilical artery in the cord.

Associations

Concurrently associated anomalies are thought to be high and include

Radiographic features

Antenatal ultrasound

May be seen as a cystic to elongated dilatation in relation to an umbilical artery. Color Doppler interrogation may show non-pulsatile turbulent flow.

Treatment and prognosis

The presence of a UAA can be lethal. When there are no associated anomalies and the fetus is potentially viable otherwise, some recommend delivery as soon as fetal lung maturity is assured when this diagnosis is made prenatally .

See also

Siehe auch:
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