Ductal agenesis with iliac connection

Javier Cortejoso, MD., Juan José Arqueros, MD, PhD

Department of Obstetrics and Gynecology. Hospital Clínico Universitario. Valladolid. Spain.

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Images 3,4
: Image 3 shows sagittal view demonstrating the absence of the umbilical vein in the typical location. Image 4 shows hepatic vein.

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Image 5,6
: Cord insertion and 3 umbilical vessels in the abdomen, 2 umbilical arteries and 1 umbilical vein which runs along the umbilical artery. Normally, we see only 2 umbilical arteries, umbilical vein should not be visible on these views.

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Images 7,8: Sagittal view showing the inferior vena cava and umbilical vein. Coronal view of the inferior vena cava (blue) and aorta (red).

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Images 9,10: Image 9 shows umbilical vein draining into iliac vein. Image 10 shows hydrocephalus which developed around 19 weeks of gestation.

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Image 11,12: Image 11 shows a drawing of the condition, type 5 of ductal agenesis when umbilical vein drains into the iliac artery. Pathology image showing 3 umbilical vessels in the lower abdomen, 2 umbilical arteries and 1 umbilical vein.

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