Prenatal Diagnosis of an Umbilical Cord Cyst Associated With Obstructed Umbilical Artery Flow: Case Report

Q3 Medicine

Australasian Journal of Ultrasound in Medicine Pub Date : 2025-05-19 DOI:10.1002/ajum.70006

James Miller, Lavinia Hallam, Debra Paoletti

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引用次数: 0

Abstract

Background

Umbilical cord cysts are rare and the reported associations with abnormal foetal outcomes present challenges in antenatal diagnosis and management.

Key Findings

We report a case of a large umbilical cord cyst detected in the second trimester, with no communication to the foetal bladder. Third trimester review demonstrated oedematous change in the umbilical cord and significantly reduced umbilical artery flow necessitating delivery by emergency caesarean section. Postnatally, the infant was found to have a patent urachus.

Discussion

This case underlines the importance of antenatal ultrasound surveillance in pregnancies complicated by umbilical cord cysts, limitations in definitive diagnosis and features of cord compression that have not been previously reported.

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产前诊断脐带囊肿与脐带动脉阻塞：1例报告

背景脐带囊肿是罕见的，与异常胎儿结局的相关报道在产前诊断和处理方面提出了挑战。我们报告一例在妊娠中期发现的大脐带囊肿，没有与胎儿膀胱沟通。妊娠晚期复查显示脐带水肿改变，脐动脉流量明显减少，需要紧急剖腹产分娩。出生后，婴儿被发现有一个未闭的输卵管。本病例强调了产前超声监测在合并脐带囊肿的妊娠中的重要性，明确诊断的局限性和脐带压迫的特征以前没有报道过。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Journal of Ultrasound in Medicine Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.90

自引率

0.00%

发文量