Prenatal Ultrasonic Diagnosis of Persistent Right Umbilical Vein with Single Umbilical Artery in Twin Pregnancy: A Case Report
Correspondence Address :
Dr. Shubhi Gaur,
Junior Resident, Department of Radiodiagnosis, Datta Meghe Institute of Higher Education and Research, JNMC Campus, Sawangi, Wardha-442001, Maharashtra, India.
E-mail: imboss.shubhi@gmail.com
Persistent Right Umbilical Vein (PRUV) is a developmental abnormality of the vascular system that occurs during embryonic development when the right umbilical vein remains open while the left umbilical vein becomes atretic. PRUV presents in two forms: the extrahepatic variety, which is less prevalent but more often associated with complications, and the intrahepatic type, which is the most common (90-95%). A Single Umbilical Artery (SUA) occurs when there is only one umbilical artery in the cord, and it is associated with an increased risk of various abnormalities, including cardiovascular defects. Hereby, the authors present a case report of a 32-year-old primigravida, approximately 20.3 weeks into her pregnancy, underwent an anomaly scan that revealed a two-vessel umbilical cord, showing an SUA and a PRUV in one of the foetuses, while both foetuses demonstrated normal intrauterine growth. PRUV in foetuses is linked to preterm births, oligohydramnios, and intrauterine growth restriction. It can also lead to gastrointestinal malformations, various cardiac anomalies, skeletal malformations, urinary tract anomalies, and SUA defects. Therefore, prenatal diagnosis of PRUV is essential.
Cardiovascular anomalies, Foetal echocardiogram, Gallbladder duplication, Intrauterine growth restriction
DOI: 10.7860/JCDR/2025/73908.20429
Date of Submission: Jun 29, 2024
Date of Peer Review: Aug 17, 2024
Date of Acceptance: Sep 04, 2024
Date of Publishing: Jan 01, 2025
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Jun 30, 2024
• Manual Googling: Aug 31, 2024
• iThenticate Software: Sep 02, 2024 (14%)
ETYMOLOGY: Author Origin
EMENDATIONS: 6
- Emerging Sources Citation Index (Web of Science, thomsonreuters)
- Index Copernicus ICV 2017: 134.54
- Academic Search Complete Database
- Directory of Open Access Journals (DOAJ)
- Embase
- EBSCOhost
- Google Scholar
- HINARI Access to Research in Health Programme
- Indian Science Abstracts (ISA)
- Journal seek Database
- Popline (reproductive health literature)
- www.omnimedicalsearch.com