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Case Report
A velamentous and furcate cord insertion in a vasa previa setting: A rare but potentially life-threatening condition. Case report and review of the literature
1 Resident of Gynecology, Department of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium
2 Medical Specialist, Department of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium
3 Medical Specialist, PhD, Department of Obstetrics and Gynecology, University Hospitals Leuven, Leuven, Belgium
Address correspondence to:
Hannelore Delagrange
Herestraat 49, 3000 Leuven,
Belgium
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Article ID: 100082Z08DH2021
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How to cite this article
Delagrange H, Hindryckx A, van Schoubroeck D, Richter J. A velamentous and furcate cord insertion in a vasa previa setting: A rare but potentially lifethreatening condition. Case report and review of the literature. J Case Rep Images Obstet Gynecol 2021;7: 100082Z08DH2021.ABSTRACT
Introduction: Furcate cord insertion is a rare abnormality of the umbilical cord insertion, in which the umbilical vessels separate before inserting into the placenta. Only a few case reports have been published on this topic. Underreporting may be due to confusion with a velamentous insert and insufficient screening for placental cord abnormalities.
Case Report: A 34-year-old women presented for a routine first trimester scan. Ultrasound examination revealed a low-lying anterior placenta and a posterior cord insertion with long velamentous vessels running close to the internal cervical ostium. Serial follow-up scans confirmed the findings of a velamentous and furcate cord insertion in a vasa previa setting. Elective caesarean section was performed at 37 weeks of gestation. Macroscopic examination of the placenta confirmed the prenatal findings.
Conclusion: Furcate velamentous cord insertion and vasa previa can be detected during first and second trimester ultrasound. Prenatal detection and adjusted peripartum management prevent adverse perinatal outcome.
Keywords: Abnormal placental cord insertion, Furcate cord insertion, Prenatal diagnosis
SUPPORTING INFORMATION
Acknowledgments
With thanks to the patient for permitting to publish this case.
Author ContributionsHannelore Delagrange - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
An Hindryckx - Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Dominique van Schoubroeck - Conception of the work, Design of the work, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Jute Richter - Conception of the work, Design of the work, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2021 Hannelore Delagrange et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
