Schiesser M, Lapaire O, Holzgreve W, Tercanli S
Universitäts-Frauenklinik Basel, Basel, Switzerland.
Ultrasound Obstet Gynecol. 2003 Dec;22(6):646-7. doi: 10.1002/uog.924.
Umbilical cord anomalies can often be detected prenatally by ultrasound, but a definitive prenatal diagnosis is not always possible. We present a case with increasing edema of the Wharton's jelly followed by the development of pseudocysts in the proximal umbilical cord due to a patent urachus. The first abnormal findings were detected by ultrasound in the 14th week of gestation. Differential diagnoses and their influence on surveillance and birth management are discussed.
脐带异常通常可通过超声在产前检测到,但并非总能做出明确的产前诊断。我们报告一例病例,其华通胶水肿加重,随后因脐尿管未闭在脐带近端出现假性囊肿。妊娠14周时通过超声首次检测到异常发现。文中讨论了鉴别诊断及其对监测和分娩管理的影响。