Single umbilical artery syndrome (review and a case report)

Czech version

Authors: J. Višňovský ¹; K. Biringer ¹; M. Haško ¹; J. Danko ¹; Z. Biringerová ²
Authors‘ workplace: Gynekologicko-pôrodnícka klinika JLF UK, Martin, Slovensko, prednosta prof. MUDr. J. Danko, CSc. ¹; Klinika anesteziológie a intenzívnej medicíny JLF UK, Martin, Slovensko, prednosta doc. MUDr. B. Sániová, CSc. ²
Published in: Ceska Gynekol 2008; 73(4): 250-253

Overview

Objective:
Authors present a review of epidemiology, ethiopathogenesis and current diagnostic approaches of single umbilical artery syndrome (SUA). They describe one case of SUA complicated with intrauterine growth restriction (IUGR), and possible management of risk pregnancy like that.

Subject:
Literature review and a case report.

Setting:
Department of Gynecology and Obstetrics, Jessenius Medical Faculty, Commenius University, Martin, Slovak Republic.

Subject and method:
The observation and management of one case with SUA and IUGR.

Conclusion:
SUA is the most frequent umbilical malformation. The finding of isolated SUA does not markedly increase perinatal morbidity and mortality, but its association with other pathologies leads to higher perinatal losses. An accurate management is still unclear (invasive antenatal diagnosis, especially), but SUA diagnosis should be a reason for more strict observation, timing of delivery, appropriate mode of delivery, and/or for more prompt intervention during pregnancy and labor. An early intervention and appropriate termination of pregnancy allowed delivery of live premature newborn with good posptartal adaptation and good prognosis was delivered after early intervention in our case.

Key words:
SUA, umbilical artery, umbilicus, ultrasound, syndrome.

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