Umbilical cord malformations are described in the literature; and it's about the umbilical artery and the umbilical vein. There are sometimes cases of a single umbilical artery. In contrast, the number of vessels in the umbilical cord can increase by three to four. A supernumerary umbilical vein is particularly rare and is usually found in association with congenital anomalies; sometimes the supernumerary umbilical vein is associated with no malformation. We report a case of umbilical cord having a four-vessel part diagnosed at the maternity ward of Panzi Hospital, in the town of Bukavu, South Kivu, DR Congo.
The review of fetal appendices is described in the literature, and its importance is well established. Indeed, pathological findings in the placenta can provide information on the pathogenesis of the fetus, including intrauterine growth retardation, mental retardation or neurodevelopmental disorders. This helps to understand a child's disability, but also maternal complications such as preeclampsia. Despite the relevant information provided by the various studies, fetal appendices are not systematically examined in several maternity hospitals in our country, DR Congo. We report good practice from the examination of fetal appendices to the maternity ward of Panzi Hospital, in the town of Bukavu, South Kivu, DR Congo.
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