CASE REPORT

DOI: 10.15562/bmj.v10i1.2024

Single Umbilical Artery (SUA) - prenatal sonography diagnosis and vascular imaging features postnatal cord: a case report

I Nyoman Hariyasa Sanjaya , Cokorda Istri Mirayani Pemayun, Ni Wayan Dewi Purwanti, Made Diah Vendita Sakuntari, Ni Putu Nining Gianni, Ni Luh Made Diah Mas Cahyani Putri, Ni Komang Anik Pirgantari, Ni Luh Md Dwi Laxmi Satriani, Firsta Sesarina Mintariani, Ni Luh Putu Yulia Padmawati, Anak Agung Wahyu Putri

I Nyoman Hariyasa Sanjaya
Obstetric and Gynecologic Department, Medical Faculty, Universitas Udayana University, Sanglah General Hospital, Denpasar, Bali, Indonesia. Email: hariyasa_sanjaya@unud.ac.id

Cokorda Istri Mirayani Pemayun
Outpatient Clinic, Sanglah General Hospital, Denpasar, Bali, Indonesia

Ni Wayan Dewi Purwanti
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia

Made Diah Vendita Sakuntari
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia

Ni Putu Nining Gianni
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia

Ni Luh Made Diah Mas Cahyani Putri
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia

Ni Komang Anik Pirgantari
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia

Ni Luh Md Dwi Laxmi Satriani
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia

Firsta Sesarina Mintariani
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia

Ni Luh Putu Yulia Padmawati
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia

Anak Agung Wahyu Putri
Kasih Medika Pregnancy School, Denpasar, Bali, Indonesia
Online First: January 25, 2021 | Cite this Article
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Sanjaya, I., Pemayun, C., Purwanti, N., Sakuntari, M., Gianni, N., Putri, N., Pirgantari, N., Satriani, N., Mintariani, F., Padmawati, N., Putri, A. 2021. Single Umbilical Artery (SUA) - prenatal sonography diagnosis and vascular imaging features postnatal cord: a case report. Bali Medical Journal 10(1): 8-10. DOI:10.15562/bmj.v10i1.2024


Background: Single umbilical artery (SUA) is a rare presentation in obstetrics practice, yet it comprises most of the umbilical anomaly. Despite its rare occurrence, a proper prenatal diagnosis needs to be established timely in order to prevent morbidity and mortality from commonly coexisting abnormalities. This case report presents a delayed diagnosis of SUA by prenatal sonography diagnosis and vascular imaging features postnatal cord at the third trimester of pregnancy and discusses the proper diagnosis and management of such cases.

Case Presentation: We reported a case of a 37 year old pregnant woman who found to have one artery one vein in her umbilical cord on ultrasound. This is very rare case and precise concern for us. Unfortunately we found this case in the third trimester of pregnancy (37w5d), therefore we have slightly to evaluate. Female baby was born by elective C-section. The baby cried immediately, with an Apgar score of 8-9. We didn’t find major abnormalities in the baby. Birth weight 3700 grams. There were not sign of heart diseases and kidney’s abnormality. Baby was monitoring for one weeks and the baby has good growth and development.

Conclusion: This report is expected to increase the awareness of this disease entity as a fundamental basis for developing its screening and management protocols.      

References

Spurway J, Logan P, Pak S. The development, structure and blood flow within the umbilical cord with particular reference to the venous system. Australas J Ultrasound Med. 2012;15(3):97-102.

Xu Y, Ren L, Zhai S, Luo X, Hong T, Liu R, et al. Association Between Isolated Single Umbilical Artery and Perinatal Outcomes: A Meta-Analysis. Med Sci Monit. 2016;30;22:1451-9.

Shah N. Prenatal Diagnosis of Single Umbilical Artery: Incidence, Counselling and Management in Indian Scenario. J Obstet Gynaecol India. 2018;68(6):437-439.

Audette MC, Kingdom JC. Screening for fetal growth restriction and placental insufficiency. Semin Fetal Neonatal Med. 2018;23(2):119-125.

Ebbing C, Kessler J, Moster D, Rasmussen S. Single umbilical artery and risk of congenital malformation: population-based study in Norway. Ultrasound Obstet Gynecol. 2020;55(4):510-515

Krzyżanowski A, Kwiatek M, Gęca T, Stupak A, Kwaśniewska A. Modern Ultrasonography of the Umbilical Cord: Prenatal Diagnosis of Umbilical Cord Abnormalities and Assessement of Fetal Wellbeing. Med Sci Monit. 2019;25:3170-3180.

Bhide A, Acharya G, Bilardo CM, Brezinka C, Cafici D, Hernandez-Andrade E, et al. ISUOG practice guidelines: use of Doppler ultrasonography in obstetrics. Ultrasound Obstet Gynecol. 2013;41(2):233-39

Qureshi MU, Colebank MJ, Schreier DA, Tabima DM, Haider MA, Chesler NC, et al. Characteristic impedance: frequency or time domain approach? Physiol Meas. 2018;39(1):014004.

Nagar T, Sharma D, Choudhary M, Khoiwal S, Nagar RP, Pandita A. The Role of Uterine and Umbilical Arterial Doppler in High-risk Pregnancy: A Prospective Observational Study from India. Clin Med Insights Reprod Health. 2015;9:1-5.

Visnovský J, Biringer K, Hasko M, Danko J, Biringerová Z. Single umbilical artery syndrome (review and a case report)]. Ceska Gynekol. 2008;73(4):250-253.

Dane B, Dane C, Kiray M, Cetin A, Yayla M. Fetuses with single umbilical artery: analysis of 45 cases. Clin Exp Obstet Gynecol. 2009;36(2):116-9.

Ramesh S, Hariprasath S, Anandan G, Solomon PJ, Vijayakumar V. Single umbilical artery. J Pharm Bioallied Sci. 2015;7(Suppl 1):S83-S84.


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