A giant umbilical cord: Benign finding or surgical emergency?

Samedi, Veronica Mugarab; Miller, Grant G.; Saade, Edouard; Kalaniti, Kaarthigeyan

doi:10.1002/ccr3.2663

Cited by 2 publications

(3 citation statements)

References 2 publications

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“…GUC was detected postnatally, which is defined as a cord diameter of more than 5 cm [ 1 ]. There are few reports of GUC cases in the literature, often associated with the patent urachal duct and umbilical cord cyst and the need for surgery [ 12 – 14 ]. Schaefer et al.…”

Section: Discussionmentioning

confidence: 99%

“…[ 20 ] 2019 Reported normal Diameter of GUC: 4 cm Pathology confirmed umbilical pseudocyst No surgical intervention Aihole [ 2 ] 2019 Reported normal Giant cystic umbilical cord 10 × 20 cm Surgical treatment Mugarab Samedi et al. [ 14 ] 2020 Not mentioned Bulky and gelatinous umbilical cord Firm reddish sinus at the base Surgical treatment …”

Section: Discussionmentioning

confidence: 99%

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Giant umbilical cord in a normal preterm infant: a case report and review of the literature

2023

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Background Giant umbilical cord, defined as a cord diameter of more than 5 cm, is an extremely rare malformation. There are few case reports of giant umbilical cord often associated with patent urachus duct or cystic malformation. These cases are usually managed by surgical excision and repair of patent urachus or cyst resection. Case presentation We report the case of a 1-day-old Iranian boy with giant umbilical cord detected postnatally. The pregnancy course was uneventful, except for preterm premature rupture of the membrane and preterm delivery. There was no relevant family history. The patient was delivered by vaginal delivery with a good Apgar score. On clinical examination, the umbilical cord was very thick (about 6 cm in diameter), and huge fluctuating Wharton’s jelly was observed. Other organs were normal. During the hospital stay, the patient did not develop any complications except borderline hyperbilirubinemia, which improved with conventional phototherapy. Since the umbilical cord had no discharge and was dried, the newborn was discharged with advice for cord drying care. Conclusion The newborn was well, and the dried umbilical stump was detached after 32 days, leaving a granulomatous structure without discharge. The patient was followed up for 4.5 months and had no problems except delayed separation of the umbilical cord.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Giant umbilical cord in a normal preterm infant: a case report and review of the literature

2023

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“…Giant umbilical cord predisposes to congenital patent urachus which is a rare occurrence with an incidence of 1–2.5 per 100,000 deliveries. Furthermore, giant umbilical cord has shown an association with urogenital abnormalities such as posterior urethral valve 5 . On prenatal ultrasound, patent urachus is diagnosed by demonstrating an open channel between the umbilical cord and fetal urinary bladder which predisposes to infection.…”

Section: Introductionmentioning

confidence: 99%

Giant umbilical cord with impending heart failure—Prognostic significance of prenatal ultrasound

Ravikanth

2022

Sonography

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Detection of giant umbilical cord prenatally should lead to vigilant monitoring particularly at term as fetal demise is a possibility, as noted in the present case because of altered hemodynamics and related vascular complications such as compromised fetal circulation. A case of prenatally diagnosed, giant umbilical cord with fetoplacental insufficiency and impending heart failure is reported. An 18‐year‐old primigravida, presented at 34 weeks of gestational age with complaints of acute onset abdominal pain. Fetal umbilical artery obstetric Doppler examination demonstrated reversal of diastolic flow. 2D echocardiography demonstrated dilated all 4 chambers of the heart with reduced contractility suggesting impending heart failure. Subsequently, fetal demise was noted after 2 days, and labour was induced followed by vaginal delivery of the dead fetus. A giant umbilical cord was seen at delivery with absent knots or strictures. This case report deserves a special mention as there were no earlier reported cases of giant umbilical cord in literature presenting with impending heart failure and fetal demise. We have presented the detailed clinical course of the fetus with giant umbilical cord along with a review of the related literature.

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A giant umbilical cord: Benign finding or surgical emergency?

Cited by 2 publications

References 2 publications

Giant umbilical cord in a normal preterm infant: a case report and review of the literature

Giant umbilical cord in a normal preterm infant: a case report and review of the literature

Giant umbilical cord with impending heart failure—Prognostic significance of prenatal ultrasound

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