Umbilical cord cyst from prenatal detection what should be done?
Searching articles on neonat* and "Umbilical cord cyst" and prenatal detection: i am giving references in AMA style with short comments
1. 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 & Gynecology [serial online]. September 2010;36(3):296-301. Available from: Academic Search Complete, Ipswich, MA. Accessed February 11, 2015.
The abstract notes "The article presents a study which aims to determine the prognosis and the clinical approach in fetuses with umbilical cord cysts during the second and third trimesters of gestation. A total of 10 fetuses with umbilical cord cysts that were diagnosed during the second and third trimesters of pregnancy underwent a detailed ultrasound evaluation. Results of the study revealed an association between the presence of second-and third-trimester umbilical cord cysts and fetal anomalies." with conclusion of need for indication for fetal karyotype testing.
2. Deshmukh H, Caty M, Ryan R, Lakshminrusimha S. Intermittent ‘bulge’ in the umbilical cord. Journal Of Perinatology [serial online]. July 2010;30(7):500-502. Available from: Academic Search Complete, Ipswich, MA. Accessed February 11, 2015.
Abstract "The article presents a case study of a male infant who was delivered by a cesarean section. During the pregnancy it was detected that the umbilical cord had cyst. After birth swelling was noticed at the base of umbilicus and omphalocele was suspected. The baby was shifted to intensive care unit where herniated urinary bladder was noticed. Histopathology of the mass suggested urachal remnant. It discusses urachal anomolies which is due to failure of urachus involution during development of fetus."
The only umbilical cord cyst I've recently seen was a misdiagnosed small omphalocele with a relatively large defect (5-6 cm) but small amount of herniated small bowel at birth. On the ground of this consideration, I would suggest to go for karyotype and prenatal cardiac USS to exclude major associated anomalies. Parents should be ackowledged regarding the possibility of a small, low pressure, benign omphalocele, provided associated anomalies have been excluded.
In cases of umbilical cord cyst it is useful to consider where the cyst is in relation to the placenta or fetus ?
There are 202 pubmed references .
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