TY - JOUR A2 - Porpora, Maria Grazia AU - Campbell, Meredith S. AU - Craig, Amanda M. AU - Reese, Jeff AU - Crum, Alicia K. AU - Patel, Soha S. PY - 2021 DA - 2021/11/16 TI - Diagnosis of an Umbilical Vein Aneurysm at 30 Weeks Gestation SP - 2433252 VL - 2021 AB - Background. Fetal umbilical vein aneurysm is an uncommon anomaly without clear guidelines regarding the management of these pregnancies. Case Presentation. We describe an ultrasound diagnosis of this condition involving a 38-year-old multigravid woman who presented at 30 weeks and 3 days gestation with severe fetal growth restriction, reverse end-diastolic flow on umbilical artery dopplers, elevated ductus venosus doppler, and an umbilical vein aneurysm. Due to nonreassuring fetal assessment in the setting of an umbilical vein aneurysm, she underwent a cesarean delivery with a favorable neonatal outcome. Conclusions. There are currently no guidelines for the management of an umbilical vein aneurysm. This case demonstrates a successful multidisciplinary approach for creating a plan of care focused on achieving a favorable outcome for a fetus with a large umbilical vein aneurysm. The approach took into account timing of delivery given the potential for fetal morbidity and mortality, while factoring in the risk of prematurity. SN - 2090-6684 UR - https://doi.org/10.1155/2021/2433252 DO - 10.1155/2021/2433252 JF - Case Reports in Obstetrics and Gynecology PB - Hindawi KW - ER -