Giant Umbilical Cord with Pericentric Inversion of Chromosome 9: A Case Report
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 7
Abstract
A giant umbilical cord is a rare malformation of the umbilical cord. We report the case of a term male newborn with a 25*5cm umbilical cord and pericentric inversion of chromosome 9 [inv(9)(p12q13)] associated with a patent urachus, which required surgical repair.A giant umbilical cord is a rare anomaly of the umbilical cord that can easily be diagnosed on prenatal scan. This malformation can present as a cyst in the umbilical cordantenatally, whereas the most common symptom is leakage of urine from the umbilicuspostnatally. Although it is rare, operative exploration must be performed to repair the associated urachal remnant [1]. Here, we report the case of a new born with a diffuse giant umbilical cord and pericentric inversion of chromosome 9.A male infant weighing 2420g was born at 36 weeks of gestation by cesarean section to a 31-year-old mother. The Apgar scores were 9 and 10 at 1 and 5minutes, respectively. Routine ultrasonography conducted in the 16th week of gestation showed cystic changes in the umbilicus, and chromosomal examination of amniotic fluid conducted in the 20th week of gestation showed 46, XY, inv (9) (p12q13). However, fetal development was progressing successfully. At delivery, the infant presented with a diffuse giant umbilical cord measuring 25cm in length and cm in diameter with a glistening surface and hydropic consistency (Figure 1). No abdominal contents were noted within the cord. The cord was clamped approximately 30cm from the abdominal wall, where it became thinner. Ultrasonography conducted when the infant was 2 days old showed a probable connection between the umbilicus and bladder, which was confirmed by a fistulogram.
Authors and Affiliations
Yeon Jun Jeong, Jin Kyu Kim, Shin Hyun Beak
Keywords
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- EP ID EP583229
- DOI 10.26717/BJSTR.2017.01.000598
- Views 202
- Downloads 0
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