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Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus.

Svigos J, Khurana S, Munt C, Sinhal S, Bernardo J - F1000Res (2013)

Bottom Line: A patent urachus was confirmed on ultrasound and the umbilical jet of urine resolved at 4 weeks post delivery after treatment of an Escherichia coli urinary tract infection.At 11 weeks post delivery a laparoscopic excision of the urachus was successfully performed.The baby, now 18 months of age, continues to thrive without incident.

View Article: PubMed Central - PubMed

Affiliation: Women's and Children's Hospital, North Adelaide, SA 5006, Australia ; Ashford Hospital, Keswick, SA 5035, Australia.

ABSTRACT
We report a baby with an unusual true umbilical cord cyst detected at 12 weeks gestation which as the pregnancy progressed became increasingly difficult to distinguish from a pseudocyst of the umbilical cord. Concern of the possibility of cord compression/cord accident led to an elective caesarean section being performed at 35+ week's gestation with delivery of a healthy female infant weighing 2170g. At birth the cyst ruptured and the resultant thickened elongated cord was clamped accordingly. After the cord clamp fell off at 5 days post delivery an elongated umbilical stump was left behind from which a stream of urine surprisingly jetted out from the umbilicus each time the baby cried. A patent urachus was confirmed on ultrasound and the umbilical jet of urine resolved at 4 weeks post delivery after treatment of an Escherichia coli urinary tract infection. At 11 weeks post delivery a laparoscopic excision of the urachus was successfully performed. The baby, now 18 months of age, continues to thrive without incident.

No MeSH data available.


Related in: MedlinePlus

Umbilical cord cyst at 35 weeks gestation with: homogeneous echogenicity? Oedema? Wharton's jelly?
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f1: Umbilical cord cyst at 35 weeks gestation with: homogeneous echogenicity? Oedema? Wharton's jelly?

Mentions: A 36 year old Caucasian woman with a 4 year history of infertility presented at 9 weeks gestation for antenatal care following a successful single embryo transfer after intra-cytoplasmic sperm injection (ICSI). First Trimester screening at 12 weeks gestation demonstrated a trisomy 21 risk of 1:2760 and a trisomy 18 risk of 1:4060. However, detailed ultrasonic examination of the fetus revealed a hypoechoic area on the anterior abdominal wall which was thought possibly to be fluid distending the urethra or an extra-abdominal mass such as an omphalocoele. At 16 weeks gestation a repeat ultrasound examination identified an umbilical cyst, of dimensions 1.7 cm x 1.6 cm x 1.8 cm with vessels coursing around it with no gut present within and a normal anterior abdominal and bladder wall. The uncertainty of the type of cyst and possible reduction in the fetal dimensions required trisomy 18 to be excluded and an amniocentesis revealed a normal XX karyotype. The umbilical cyst increased progressively with advancing gestation, increasing in dimension, to 4.9 x 4.5 x 4.7 cm at 35 weeks gestation (SeeFigure 1).


Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus.

Svigos J, Khurana S, Munt C, Sinhal S, Bernardo J - F1000Res (2013)

Umbilical cord cyst at 35 weeks gestation with: homogeneous echogenicity? Oedema? Wharton's jelly?
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC3814933&req=5

f1: Umbilical cord cyst at 35 weeks gestation with: homogeneous echogenicity? Oedema? Wharton's jelly?
Mentions: A 36 year old Caucasian woman with a 4 year history of infertility presented at 9 weeks gestation for antenatal care following a successful single embryo transfer after intra-cytoplasmic sperm injection (ICSI). First Trimester screening at 12 weeks gestation demonstrated a trisomy 21 risk of 1:2760 and a trisomy 18 risk of 1:4060. However, detailed ultrasonic examination of the fetus revealed a hypoechoic area on the anterior abdominal wall which was thought possibly to be fluid distending the urethra or an extra-abdominal mass such as an omphalocoele. At 16 weeks gestation a repeat ultrasound examination identified an umbilical cyst, of dimensions 1.7 cm x 1.6 cm x 1.8 cm with vessels coursing around it with no gut present within and a normal anterior abdominal and bladder wall. The uncertainty of the type of cyst and possible reduction in the fetal dimensions required trisomy 18 to be excluded and an amniocentesis revealed a normal XX karyotype. The umbilical cyst increased progressively with advancing gestation, increasing in dimension, to 4.9 x 4.5 x 4.7 cm at 35 weeks gestation (SeeFigure 1).

Bottom Line: A patent urachus was confirmed on ultrasound and the umbilical jet of urine resolved at 4 weeks post delivery after treatment of an Escherichia coli urinary tract infection.At 11 weeks post delivery a laparoscopic excision of the urachus was successfully performed.The baby, now 18 months of age, continues to thrive without incident.

View Article: PubMed Central - PubMed

Affiliation: Women's and Children's Hospital, North Adelaide, SA 5006, Australia ; Ashford Hospital, Keswick, SA 5035, Australia.

ABSTRACT
We report a baby with an unusual true umbilical cord cyst detected at 12 weeks gestation which as the pregnancy progressed became increasingly difficult to distinguish from a pseudocyst of the umbilical cord. Concern of the possibility of cord compression/cord accident led to an elective caesarean section being performed at 35+ week's gestation with delivery of a healthy female infant weighing 2170g. At birth the cyst ruptured and the resultant thickened elongated cord was clamped accordingly. After the cord clamp fell off at 5 days post delivery an elongated umbilical stump was left behind from which a stream of urine surprisingly jetted out from the umbilicus each time the baby cried. A patent urachus was confirmed on ultrasound and the umbilical jet of urine resolved at 4 weeks post delivery after treatment of an Escherichia coli urinary tract infection. At 11 weeks post delivery a laparoscopic excision of the urachus was successfully performed. The baby, now 18 months of age, continues to thrive without incident.

No MeSH data available.


Related in: MedlinePlus