Korean J Obstet Gynecol.  2007 May;50(5):721-725.

A study in fetuses with prenatally diagnosed single umbilical artery by ultrasonund

• Kwon TH
• Ji EK
• Kim WY
• Kim DY
• Kang SS
• Jun HS
• Kim SY

Abstract

OBJECTIVE
To evaluate the incidence, combined anomaly, and prognosis of prenatally diagnosed Single Umbilical Artery (SUA) by ultrasound.
METHODS
From January 2001 to December 2005, a single umbilical artery (SUA) was observed in 41 cases out of 22,868 deliveries. Among 41 cases, 39 cases were examined by targeted imaging to rule out fetal anomalies in the mid trimester (intrauterine pregnancy 16-27 weeks). The remaining two cases were detected in the third trimester, which were transferred from a local clinic, and were examined by routine sonogram. Pregnancy and perinatal outcome data were retrieved by review of the medical records.
RESULTS
The incidence of SUA in our population was 0.18%. Of 41 fetuses with SUA, 8 cases presented congenital malformations (19.5%) such as acrania (n=1), Tetralogy of Fallot (n=1), renal anomalies (unilateral renal agenesis n=2, pyelectasis n=1), esophageal atresia (EA) with tracheoesophageal fistula (TEF)(n=1), omphalocele with choroid plexus cyst (CPC)(n=1), and congenital diaphragmatic hernia with hypoplastic left heart syndrome (n=1). Of 33 fetuses with isolated SUA, 3 (9.1%) demonstrated growth restriction. Karyotype analysis was performed in three cases. Two were normal and omphalocele with CPC was Trisomy 18.
CONCLUSION
During the prenatal period, the fetus with SUA by ultrasound examination must be carefully monitored with targeted prenatal ultrasound because of its frequent association with fetal congenital anomalies (19.5%). Isolated SUA without associated anomaly dose not affect the outcome of the pregnancy.

Keyword

Single umbilical artery; Congenital anomaly; Ultrasound

MeSH Terms

Choroid Plexus
Esophageal Atresia
Female
Fetus*
Hernia, Diaphragmatic
Hernia, Umbilical
Humans
Hypoplastic Left Heart Syndrome
Incidence
Karyotype
Medical Records
Neural Tube Defects
Pregnancy
Pregnancy Trimester, Third
Prognosis
Pyelectasis
Single Umbilical Artery*
Tetralogy of Fallot
Tracheoesophageal Fistula
Trisomy
Ultrasonography