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- Title
Giant umbilical cord edema caused by retrograde micturition through an open patent urachus.
- Authors
Schaefer, Inga-Marie; Männer, Jörg; Faber, Renaldo; Loertzer, Hagen; Füzesi, László; Seeliger, Stephan
- Abstract
A giant umbilical cord is a rare finding in mature newborns and originates from different developmental etiologies. We report on a case of a mature female newborn presenting a 50 × 8-cm giant umbilical cord without further malformations. Antenatal sonographic findings of a diffuse giant umbilical cord, elevated creatinine levels of 1.3 mg/dL in umbilical cord edema, gross and histopathological findings of allantoic remnants, and umbilical urinary discharge lead to the diagnosis of a patent urachus with retrograde micturition into the umbilical cord. Postnatal surgical repair was required. In antenatal sonography, cystic and diffuse changes should be considered in the differential diagnosis of a giant umbilical cord. In cases of diffuse enlargement, elevated umbilical creatinine can support the diagnosis of a patent urachus with open leakage into the Wharton's jelly. Appropriate surgical management is required.
- Publication
Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society, 2010, Vol 13, Issue 5, p404
- ISSN
1093-5266
- Publication type
Journal Article
- DOI
10.2350/09-10-0731-CR.1