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Umbilical vein varix

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Routine antenatal scan for fetal anomalies.

Patient Data

Age: 22 weeks gestation
Gender: Female
ultrasound

Focal dilatation of the umbilical vein is seen.

Case Discussion

Focal dilatation of the umbilical vein is termed an umbilical vein varix. It has an association with fetal cardiac anomalies, and complications such as umbilical vein thrombosis and fetal hydrops make it an important sonographic finding.

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