Single and Multiple Umbilical Cord Cysts in Early Gestation Two Different Entities

Ghezzi, Fabio; Raio, Luigi; Naro, Edoardo Di; Franchi, Massimo Piergiuseppe; Cromi, Antonella; Dürig, P.

doi:10.1097/01.ogx.0000083704.46473.00

Cited by 11 publications

(16 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The urachus could remain permeable all along its route or partially obliterated. Persistent permeability of the urachus in its bladder, umbilical or intermediate portion is a rare condition that leads respectively to the occurrence of urachal diverticulum, umbilical pilonidal sinus or urachal cyst (1,2). We report the case of a permeable urachus detected by ultrasounds in the third trimester.…”

Section: Introductionmentioning

confidence: 98%

“…Such an evolution can be explained by the fact that, in our case the umbilical cyst, was located at the basis of the cord in its intra-abdominal side. Prognosis is usually favorable, however, cases of fetal death have been reported (2,9). Karyotype study and magnetic resonance imaging are not indicated in the typical forms.…”

Section: Introductionmentioning

confidence: 99%

“…Differentiation of these two types is difficult by conventional ultrasound. The pathogenesis of both cysts remains unclear although obstructive uropathy has been proposed as the underlying mechanism by some authors (2,6). In the first trimester, the permeable urachus appears as an anechoic image at the basis of the cord communicating with the bladder dome and corbelled by the umbilical arteries (7,8,9,10).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Prenatal Ultrasound Diagnosis of Urachal Cyst with Favorable Evolution

Rekik¹,

Moumen²,

Kolf³

et al. 2014

IJWHR

View full text Add to dashboard Cite

The urachal cyst is a rare congenital anomaly due to a lack of apposition of sheets remains allantoid. Diagnosis is based on prenatal ultrasound. We report the case of an urachal cyst diagnosed in a female fetus in the third trimester of pregnancy which regressed spontaneously in the postnatal period. Comment: Mrs. CD, a 27 year-old consulted us as part of the regular monitoring of a normal course of pregnancy. At 32 weeks, ultrasounds showed an anechoic oval-shaped and welllimited image located above the upper pole of the bladder, below the insertion of the cord. Diameter was 12 mm and the image was connected to the baldder through a thin orifice. The umbilical ring appeared wide and connected to the abdominal collection by a 5 mm-channel. However, the skin surface was normal with no solution of continuity. On ultrasound at 37 weeks gestation (WG), the pelvic anechoic image kept the same features but the thin connection was no more visible. Vaginal delivery occurred at 40 GW and 5 days. Examination of the newborn found normal abdominal skin covering. By 12 months, ultrasounds found that the cyst completely disappeared. Conclusion: The permeable urachus is a progressive disease. Its development depends on the clinical form of its manifestation. Surgical treatment is often necessary, but spontaneous regression is possible for simple cysts until postnatal period.

show abstract

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Prenatal Ultrasound Diagnosis of Urachal Cyst with Favorable Evolution

Rekik¹,

Moumen²,

Kolf³

et al. 2014

IJWHR

View full text Add to dashboard Cite

show abstract

“…From this plane, the probe is turned to obtain a transverse scan image. Umbilical cord diameters were measured only on the transverse section (figure 1) as described by Ghezzi et al 16 Measurements of the umbilical cord diameter (figure 2), were obtained in a cross sectional plane of the umbilical cord at a point, 2.0 cm away from point of insertion into the fetal abdomen.17 Diameters obtained from these measurements were used to compute the cross sectional area of the umbilical cord. The GA estimation was based on reliable recollection of the date of onset the last menstrual period (LMP) and the GA calculated from LMP was validated by ultrasound scan done within the first trimester of cyesis.…”

Section: Methodsmentioning

confidence: 99%

Relationship between sonographic umbilical cord size and gestational age among pregnant women in Enugu, Nigeria

Ugwuja

Ugwu

et al. 2014

Afr H. Sci.

View full text Add to dashboard Cite

Abstract:Background: Common fetal parameters for gestational age (GA) estimation have pitfalls especially in advanced pregnancy and pregnancy complicated by fetal structural anomaly. Objective: To assess the relationship between umbilical cord size and GA of the fetus. Subjects and Methods: A sonographic cross sectional study involving 300 pregnant women with GA between 14 weeks to 40 weeks was done in Enugu, Nigeria. Gestational ages were first estimated by use of Naegele's formula for GA estimation based on the date of onset of each subject's last menstrual period. Fetal parameters such as biparietal diameter, femur length, head circumference and abdominal circumference were measured and also used to estimate GA. Umbilical cord diameters were measured and used to compute the umbilical cord cross-sectional area. Results: The mean umbilical cord diameter and cross-sectional area were 14.5mm + 7.2mm and 201.6mm + 139.5mm2 respectively. Umbilical cord growth rate of 1.0mm/week was noted between the 14th and 35th week of pregnancy. There were significant correlations (p < 0.001) between umbilical cord size and other fetal parameters for GA estimation. Conclusion: Umbilical cord size had strong linear relationship with common fetal GA estimation parameters and could be used to compliment these parameters for GA estimation.

show abstract

“…They are more often single than multiple findings and are usually isolated, even though their association with other congenital anomalies, usually of the gastrointestinal tract, and other syndromes and sequences has been described. The presence of multiple umbilical cord cysts is associated with an increased risk of miscarriage, aneuploidy and congenital anomalies [5]. Additionally, pseudocysts have also been described, originating as a result of myxoid degeneration of the Wharton's jelly secondary to persistent patent urachus, urachus cysts or abdominal wall defects [1].…”

Section: Cystic Lesionsmentioning

confidence: 99%

Your diagnosis? Umbilical cord tumor

et al. 2006

View full text Add to dashboard Cite

A 35-year-old woman, gravida 3, para 3, at 33 1/7 weeks of gestation was referred to the obstetric clinic for prenatal assessment of an echogenic mass of the umbilical cord detected during a routine ultrasound examination. Chorionic villus biopsy for advanced maternal age at 13-week gestation revealed a normal 46 XX karyotype. Sonographic assessment of the fetus demonstrated growth parameters appropriate for the gestational age. The abdominal wall was closed, with an inhomogeneous mass measuring 43×32× 28 mm near the insertion of the umbilical cord ( Fig. 1). The cardiotocogram showed no fetal distress. Doppler flow studies of the umbilical cord showed three vessels, displaced by a multilobulated echogenic tumor. Maternal serum screening showed an elevated level of alphafetoprotein (326 μg/l), but no signs of congenital infection.At 38 5/7 weeks of gestation, a girl was delivered vaginally, weighing 2,840 g (10th-25th centile), with a length of 47 cm (10th-25th centile) and head circumference of 33 cm (10th-25th centile). She adapted with Apgar scores of 8/9/9, and the arterial cord pH was 7.31. The umbilical cord showed a nodular bulge proximal to its insertion into the abdominal wall. It measured 4 cm in diameter, had a smooth, translucent, pearly colored surface, without superficial vessels or pulsations, and was of firm, elastic consistency. A blue core was discernible within (Fig. 2). The findings were associated with marked thickening and edema of the Wharton's jelly, and one vein and two arteries were present within the cord. A 1-cm segment of normal umbilical cord separated the tumor from the intact abdominal wall. Abdominal ultrasound examination showed no visceral abnormalities. The umbilical cord was clamped distal to the lesion, and the infant recovered in a puerperal care unit. The macro-and microscopic placenta examination (387 g, 19×15×3 cm) revealed no abnormalities. At 2 days of age, the infant was transferred to a pediatric surgery unit for surgical revision.

show abstract

Single and Multiple Umbilical Cord Cysts in Early Gestation Two Different Entities

Cited by 11 publications

References 0 publications

Prenatal Ultrasound Diagnosis of Urachal Cyst with Favorable Evolution

Prenatal Ultrasound Diagnosis of Urachal Cyst with Favorable Evolution

Relationship between sonographic umbilical cord size and gestational age among pregnant women in Enugu, Nigeria

Your diagnosis? Umbilical cord tumor

Contact Info

Product

Resources

About