Donald School Journal of Ultrasound in Obstetrics and Gynecology

Register      Login

VOLUME 6 , ISSUE 1 ( January-March, 2012 ) > List of Articles

RESEARCH ARTICLE

Prenatal Diagnosis and Postnatal Follow-up of Patients with Persistent Right Umbilical Vein

Daniel Beovide Leal, Magela Maggiolini, Ana Bianchi

Keywords : Right persistent umbilical vein,Fetal umbilical vascular system

Citation Information : Leal DB, Maggiolini M, Bianchi A. Prenatal Diagnosis and Postnatal Follow-up of Patients with Persistent Right Umbilical Vein. Donald School J Ultrasound Obstet Gynecol 2012; 6 (1):104-108.

DOI: 10.5005/jp-journals-10009-1231

License: CC BY-NC 4.0

Published Online: 01-03-2013

Copyright Statement:  Copyright © 2012; The Author(s).


Abstract

Objective

Through a prospective study the incidence and neonatal results of patients with persistent right umbilical vein are evaluated.

Materials and methods

During the period between August 2009 and February 2011, 3,576 low-risk obstetric sonographies were performed by the same technician at four different centers of prenatal diagnosis. Persistent right umbilical vein was diagnosed during a customary ultrasound examination, in the abdominal transverse section used to measure abdominal perimeter. Patients were asked to bring their children several months after delivery for a clinical and sonographic evaluation.

Results

Persistent right umbilical vein was found in nine fetuses. In one case, it was associated with single umbilical artery. All fetuses had good growth and development. In some children, the postnatal sonography showed the gallbladder toward the left of falciform ligament.

Conclusion

The incidence of persistent right umbilical vein in this population was of 1:397. We did not find any association with severe malformations as mentioned in the first articles related to this topic. There was only one case with single umbilical artery. All newborns developed normally. The question is raised why, being this anomaly so frequent and obvious, it is not more often diagnosed. Gallbladder position in respect to falciform ligament is a finding to assess.

How to cite this article

Leal DB, Maggiolini M, Bianchi A. Prenatal Diagnosis and Postnatal Follow-up of Patients with Persistent Right Umbilical Vein. Donald School J Ultrasound Obstet Gynecol 2012;6(1):104-108.


PDF Share
  1. Medical embryology (4th ed). 1981;196-97.
  2. Ultrasonography and obstetrics, selected topics. 286-87.
  3. Persistent right umbilical vein: An ominous prenatal finding? Radiology 1990;177:735-38.
  4. Persistent right umbilical vein: Incidence and significance. Ultrasound Obstet Gynecol 2002;19:562-64.
  5. HPR: Pereira Rossell Hospital.
  6. Persistent right umbilical vein: Sonographic detection and subsequent neonatal outcome. Ultrasound Obstet Gynecol 1996;8:31-33.
  7. Obstetrics and Gynecology, 2000;3:433-36.
  8. Ecography in obstetrics and gynecology (4th ed). 153.
  9. Doppler ultrasonography in obstetrics. 303-04.
  10. Persistent right umbilical vein: A prenatal condition worth mentioning? Ultrasound in Obstetrics and Gynecology May 2011;37(5):543-48.
  11. Prenatal diagnosis of persistent right umbilical vein using threedimensional sonography with power doppler. Taiwanese Journal of Obstetrics and Gynecology August 2004;46(1): 43-46.
  12. Three-dimensional power Doppler (3DPD) ultrasound in the diagnosis and follow-up of fetal vascular anomalies. American Journal of Obstetrics and Gynecology January 2006;194(1):274-81.
  13. Threedimensional color power imaging of the fetal hepatic circulation. American Journal of Obstetrics and Gynecology November 2003;189(5):1401-06.
  14. Three-dimensional ultrasonographic depiction of fetal abdominal blood vessels. JUM 1 August, 2009;28(8):977-88.
  15. Three-dimensional power Doppler (3DPD) ultrasound in the diagnosis and follow-up of fetal vascular anomalies. Am J Obstet Gynecol 2006;194:274.
  16. How useful is 3D and 4D ultrasound in perinatal medicine? J Perinat Med 2007;35:10-27.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.