Unusual umbilical cord finding in a neonate

Authors

  • Antonieo Jude Raja Department of Paediatrics Indira Gandhi Medical College and Research Institute, Kadirkamam, Puducherry, India
  • Sriambika K. Department of Anatomy, Pondicherry Institute of Medical Sciences, Puducherry, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20194754

Keywords:

Allantois remnant, Liquefaction, Pseudocyst, Umbilical cord cyst, Umbilical cyst, Wharton jelly

Abstract

Umbilical cord cyst refers to any cystic lesion that are associated with the umbilical cord. They are classified as true cysts or pseudocysts. True cysts are small remnants of the allantois, whereas false cysts originate from liquefaction of Wharton Jelly. In present case, cyst was diagnosed at birth without any associated congenital anomalies and resolved spontaneously within a few days requiring nil surgical intervention. Umbilical cord cysts deserve special attention since 20% of them, regardless of type, are associated with structural or chromosomal anomalies. Because of this, fetal karyotyping and amniocentesis should be considered when cysts persist beyond the first trimester.

References

Kaushal A, Mehra R, Dubey S, Goel P, Sheokand S, Kaur N. Umbilical cord cyst: a diagnostic dilemma. Int J Reprod Contracept Obstet Gynecol. 2019;8(3):1207-10.

Campo LR, Cornudella RS, Alderete FG, Martínez-Payo C, Pérez PP, Fernández PG, et al. Prenatal diagnosis of umbilical cord cyst: Clinical significance and prognosis. Taiwanese J Obstand Gynec. 2017 Oct 1;56(5):622-7.

Gupta P. A rare case of persistent umbilical cord cyst with multiple malformations. Indian Obstetr Gynaecol. 2014 Jun 30;4(2).

Shipp TD, Bromley B, Benacerraf BR. Sonographically detected abnormalities of the umbilical cord. Intern J Gynec Obst. 1995 Feb;48(2):179-85.

Zangen R, Boldes R, Yaffe H, Schwed P, Weiner Z. Umbilical cord cysts in the second and third trimesters: significance and prenatal approach. Ultrasound in Obstetrics and Gynecology. 2010 Sep;36(3):296-301.

Sepulveda W ,Gutierrez J ,Sanchez J , Be C, Schnapp C. Pseudocyst of the umbilical cord: prenatal sonographic appearance and clinical significance. Obstet Gynecol. 1999 mar;93(3):377-81.

Whipple N, Bennett E, Kaza E, O'connor M. Umbilical Cord Pseudocyst in a Newborn. The J Pediatr. 2016 Oct 1;177.

Downloads

Published

2019-10-21