Contents    Cover    Publication Date: 11 Aug 2020
Year 2020 - Volume 30 - Issue 2

Open Access

Peer Reviewed

CASE REPORTS
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A Partial Supernumerary Umbilical Vessels

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J Clin Obstet Gynecol. 2020;30(2):78-81
DOI: 10.5336/jcog.2020-74238
Article Language: EN
Copyright Ⓒ 2020 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Supernumerary umbilical vessels are related to embryologic developmental defect of umbilical cord. These vessels can be seen varying numbers and types also partial or thoroughly. Extra vein is seen more common than extra artery, generally seen as four umbilical cord vessels (two veins, two arteries). This condition may accompany congenital malformations, poor obstetrics outcomes or well fetuses. Unlike the existing literature, a 22-year-old multiparous woman gave birth a healthy baby with spontaneous vaginal delivery at term. In the macroscopic examination of the umbilical cord was found to be 3 cm in a partial area, in microscopic examination multiple vessels (7 arteries, 5 veins) were found in this area. No information about umbilical cord vascular structure was found in prenatal ultrasonographies. Prenatal diagnosis of isolated supernumerary umbilical cord vessels tends to be overlooked; histopathologic examination is very important for detection of this abnormalities.
REFERENCES:
  1. Khong TY, Mooney EE, Nikkels PGJ, Morgan TK, Gordijn SJ. Single Umbilical Artery, Supernumerary Vessels, Segmental Thinning of the Umbilical Cord Vessels and Vascular Calcifications in Umbilical Vessels, Margaret J. Evans. 1st ed. Pathology of the Placenta. Switzerland: Springer International Publishing; 2019. p.341-6. [Crossref] 
  2. Kaçar F, Meteoğlu İ, Uyar M, Çulhacı N, Dikicioğlu E. 300 plasentanın incelemesinde saptanan umblikal kordun damar anomalileri. ADÜ Tıp Fakültesi Dergisi. 2004;5(1):23-5.
  3. Ogino M, Jimbo T, Mizuno M, Sakamoto S. Study on the histopathological abnormalities of the umbilical cord. Nihon Sanka Fujinka Gakkai Zasshi. 1985;37(3):329-35. [PubMed] 
  4. Schimmel MS, Eidelman AI. Supernumerary umbilical vein resulting in a four-vessel umbilical cord. Am J Perinatol. 1998;15(5):299-301. [Crossref]  [PubMed] 
  5. Du X, Yuan Q, Li Z, Li Y. Three umbilical arteries resulting in a four -vessel umbilical cord in a stillbirth. Int J Clin Exp Med. 2015;8(3):4682-5. [PubMed] 
  6. Puvabanditsin S, Garrow E, Bhatt M, Kathiravan S, Gowda S, Wong R, et al. Four-vessel umbilical cord associated with multiple congenital anomalies: a case report and literature review. Fetal Pediatr Pathol. 2011;30(2):98-105. [Crossref]  [PubMed] 
  7. Cohen HL, Shapiro ML, Haller JO, Schwartz D. The multivessel umbilical cord: an antenatal indicator of possible conjoined twinning. J Clin Ultrasound. 1992;20(4):278-82. [Crossref]  [PubMed] 
  8. 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 Rep. 2019;13(1):149. [Crossref]  [PubMed]  [PMC] 
  9. Weichert J, Hartge U, Germer R, Axt-Fliedner R, Gembruch U. Persistent right umbilical vein: a prenatal condition worth mentioning? Ultrasound Obstet Gynecol. 2011;37(5):543-8. [Crossref]  [PubMed] 
  10. Karatza A, Tsamandas A, Varvarigou A, Davlouros P, Pavlou V, Mantagos S. Supernumerary umbilical vein in a hydropic neonate with hypertrophic cardiomyopathy. Fetal Pediatr Pathol. 2011;30(3):173-6. [Crossref]  [PubMed] 
  11. 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(7):1200-4. [Crossref]  [PubMed] 
  12. Firdouse M, Agarwal A, Pindiprolu B, Mondal T. Two ductus venosus: a previously unreported anomaly. J Ultrasound. 2014;17(4):293-6. [Crossref]  [PubMed]  [PMC] 
  13. Kotiloğlu Karaa E. Göbek kordonu [Umbilical Cord]. Plasenta Patolojik İnceleme İçin El Kitabı. 1. Baskı. Ankara: Palme Yayıncılık; 2012. p.29-32.
  14. Quaak MS, Draaisma JM. A four-vessel umbilical cord. Arch Dis Child Fetal Neonatal Ed. 2017;102(2):F115. [Crossref]  [PubMed]