Yıl: 2021 Cilt: 29 Sayı: 4 Sayfa Aralığı: 191 - 194 Metin Dili: İngilizce DOI: 10.5336/caserep.2021-84510

Doppler Evaluation of Umbilical Arteries for Fetal DistressAssessment: Discrepant Results Can Be Obtained from Both Arteries

Öz:
Umbilical artery Doppler evaluation is very important in diagnosing intrauterine fetal distress. During a Doppler assessment of umbilical arteries, occasionally one of the arteries shows normal indices while the other exhibits abnormal values at the exam session. Here, we are presenting a case with one umbilical artery exhibiting normal and the other umbilical artery exhibiting abnormal Doppler indices initially, who later had a cesarean delivery at 29 weeks of gestation due to abnormal umbilical artery Doppler indices and fetal distress. After delivery, the assessment of the umbilical cord revealed two arteries and one vein; one of the arteries was macroscopically nodular, the other was normal in appearance. Also, a pathological examination of the umbilical cord revealed that the diameter of one umbilical artery was smaller than the other. We aimed to discuss the divergent results in both umbilical arteries by means of Doppler values and the histological findings.
Anahtar Kelime:

Konular:
Fen > Tıp > Anatomi ve Morfoloji
Fen > Tıp > Androloji
Fen > Tıp > Biyofizik
Fen > Tıp > Biyokimya ve Moleküler Biyoloji
Fen > Tıp > Dermatoloji
Fen > Tıp > Acil Tıp
Fen > Tıp > Hematoloji
Fen > Tıp > Enfeksiyon Hastalıkları
Fen > Tıp > Tıbbi İnformatik
Fen > Tıp > Tıbbi Laboratuar Teknolojisi
Fen > Tıp > Nörolojik Bilimler
Fen > Tıp > Onkoloji
Fen > Tıp > Göz Hastalıkları
Fen > Tıp > Kulak, Burun, Boğaz
Fen > Tıp > Patoloji
Fen > Tıp > Romatoloji
Fen > Tıp > Spor Bilimleri
Fen > Tıp > Adli Tıp
Fen > Tıp > Tıbbi Araştırmalar Deneysel
Fen > Tıp > Periferik Damar Hastalıkları
Fen > Tıp > Üroloji ve Nefroloji
Fen > Tıp > Kadın Hastalıkları ve Doğum
Fen > Tıp > Geriatri ve Gerontoloji
Fen > Tıp > Temel Sağlık Hizmetleri
Fen > Tıp > Alerji
Fen > Tıp > Odyoloji ve Konuşma-Dil Patolojisi
Fen > Tıp > Biyoteknoloji ve Uygulamalı Mikrobiyoloji
Fen > Tıp > Hücre Biyolojisi
Fen > Tıp > Klinik Nöroloji
Fen > Tıp > Yoğun Bakım, Tıp
Fen > Tıp > Tıbbi Etik
Fen > Tıp > Ortopedi
Fen > Tıp > Pediatri
Fen > Tıp > Solunum Sistemi
Fen > Tıp > Cerrahi
Fen > Temel Bilimler > Biyoloji
Fen > Tıp > Halk ve Çevre Sağlığı
Fen > Tıp > Sağlık Bilimleri ve Hizmetleri
Fen > Tıp > Anestezi
Fen > Tıp > İmmünoloji
Fen > Tıp > Mikrobiyoloji
Fen > Tıp > Fizyoloji
Fen > Tıp > Psikiyatri
Fen > Tıp > Rehabilitasyon
Fen > Tıp > Transplantasyon
Fen > Tıp > Tropik Tıp
Fen > Tıp > Tamamlayıcı ve Entegre Tıp
Fen > Tıp > Genel ve Dahili Tıp
Fen > Tıp > Gastroenteroloji ve Hepatoloji
Fen > Tıp > Endokrinoloji ve Metabolizma
Fen > Tıp > Kalp ve Kalp Damar Sistemi
Fen > Tıp > Radyoloji, Nükleer Tıp, Tıbbi Görüntüleme
Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
  • 1. FitzGerald DE, Drumm JE. Non-invasive measurement of human fetal circulation using ultrasound: a new method. Br Med J. 1977; 2(6100):1450-1. [Crossref] [PubMed] [PMC]
  • 2. Macara L, Kingdom JC, Kohnen G, Bowman AW, Greer IA, Kaufmann P. Elaboration of stem villous vessels in growth restricted pregnancies with abnormal umbilical artery Doppler waveforms. Br J Obstet Gynaecol. 1995;102(10):807-12. [Crossref] [PubMed]
  • 3. Sonesson SE, Fouron JC, Drblik SP, Tawile C, Lessard M, Skoll A, et al. Reference values for Doppler velocimetric indices from the fetal and placental ends of the umbilical artery during normal pregnancy. J Clin Ultrasound. 1993;21(5):317-24. [Crossref] [PubMed]
  • 4. Maulik D, Yarlagadda AP, Youngblood JP, Willoughby L. Components of variability of umbilical arterial Doppler velocimetry--a prospective analysis. Am J Obstet Gynecol. 1989;160(6):1406-9; discussion 1409-12. [Crossref] [PubMed]
  • 5. Schaefer M, Wittstock G, Ville Y. Dopplersonographische Untersuchungen der fetalen Nabelschnurarterien im intraabdominalen Abschnitt bei normalen Einlingsschwangerschaften [Doppler ultrasound examination of fetal umbilical arteries of the intra-abdominal segment in normal singleton pregnancies]. Z Geburtshilfe Neonatol. 2000;204(4):135-9. German. [Crossref] [PubMed]
  • 6. Skoll MA, Fouron JC, Sonesson SE, Nyctelius H, Lessard M, Drblik SP. Doppler velocimetric indices from the abdominal and placental ends of the umbilical artery of growth-restricted fetuses. J Clin Ultrasound. 1997;25(8):421-4. [Crossref] [PubMed]
  • 7. Predanic M, Kolli J, Yousefzadeh P, Pennisi J. Disparate blood flow patterns in parallel umbilical arteries. Obstet Gynecol. 1998;91(5 Pt 1):757-60. [Crossref] [PubMed]
  • 8. Raio L, Ghezzi F, di Naro E, Franchi M, Balestreri D, Dürig P, et al. In-utero characterization of the blood flow in the Hyrtl anastomo sis. Placenta. 2001;22(6):597-601. [Crossref] [PubMed]
  • 9. Acharya G, Wilsgaard T, Berntsen GK, Maltau JM, Kiserud T. Reference ranges for serial measurements of blood velocity and pulsatility index at the intra-abdominal portion, and fetal and placental ends of the umbilical artery. Ultrasound Obstet Gynecol. 2005;26(2):162-9. [Crossref] [PubMed]
  • 10. Degani S, Lewinsky RM, Berger H, Spiegel D. Sonographic estimation of umbilical coiling index and correlation with Doppler flow characteristics. Obstet Gynecol. 1995;86(6):990- 3. [Crossref] [PubMed]
  • 11. Narayan R, Saaid R, Pedersen L, Hyett J. Ultrasound assessment of umbilical cord morphology in the first trimester: a feasibility study. Fetal Diagn Ther. 2015;38(3):212-7. [Crossref] [PubMed]
  • 12. Peker T, Omeroglu S, Hamdemir S, Celik H, Tatar I, Aksakal N, et al. Three-dimensional assessment of the morphology of the umbilical artery in normal and pre-eclamptic placentas. J Obstet Gynaecol Res. 2006;32(5):468-74. [Crossref] [PubMed]
  • 13. Baykal C, Sargon MF, Esinler I, Onderoğlu S, Onderoğlu L. Placental microcirculation of intrauterine growth retarded fetuses: scanning electron microscopy of placental vascular casts. Arch Gynecol Obstet. 2004;270(2):99- 103. [Crossref] [PubMed]
APA SEZER S, AVCIOĞLU S, ZAFER E, ALTINKAYA S, YÜKSEL H (2021). Doppler Evaluation of Umbilical Arteries for Fetal DistressAssessment: Discrepant Results Can Be Obtained from Both Arteries. Türkiye Klinikleri Journal of Case Reports, 29(4), 191 - 194. 10.5336/caserep.2021-84510
Chicago SEZER Selda Demircan,AVCIOĞLU Sümeyra NERGİZ,ZAFER Emre,ALTINKAYA Sündüz Özlem,YÜKSEL Hasan Doppler Evaluation of Umbilical Arteries for Fetal DistressAssessment: Discrepant Results Can Be Obtained from Both Arteries. Türkiye Klinikleri Journal of Case Reports 29, no.4 (2021): 191 - 194. 10.5336/caserep.2021-84510
MLA SEZER Selda Demircan,AVCIOĞLU Sümeyra NERGİZ,ZAFER Emre,ALTINKAYA Sündüz Özlem,YÜKSEL Hasan Doppler Evaluation of Umbilical Arteries for Fetal DistressAssessment: Discrepant Results Can Be Obtained from Both Arteries. Türkiye Klinikleri Journal of Case Reports, vol.29, no.4, 2021, ss.191 - 194. 10.5336/caserep.2021-84510
AMA SEZER S,AVCIOĞLU S,ZAFER E,ALTINKAYA S,YÜKSEL H Doppler Evaluation of Umbilical Arteries for Fetal DistressAssessment: Discrepant Results Can Be Obtained from Both Arteries. Türkiye Klinikleri Journal of Case Reports. 2021; 29(4): 191 - 194. 10.5336/caserep.2021-84510
Vancouver SEZER S,AVCIOĞLU S,ZAFER E,ALTINKAYA S,YÜKSEL H Doppler Evaluation of Umbilical Arteries for Fetal DistressAssessment: Discrepant Results Can Be Obtained from Both Arteries. Türkiye Klinikleri Journal of Case Reports. 2021; 29(4): 191 - 194. 10.5336/caserep.2021-84510
IEEE SEZER S,AVCIOĞLU S,ZAFER E,ALTINKAYA S,YÜKSEL H "Doppler Evaluation of Umbilical Arteries for Fetal DistressAssessment: Discrepant Results Can Be Obtained from Both Arteries." Türkiye Klinikleri Journal of Case Reports, 29, ss.191 - 194, 2021. 10.5336/caserep.2021-84510