İzole Umbilikal Kist ile Prezente olan bir Fetusun Perinatal Sonuçları

Abstract

Yüksek çözünürlüklü obstetrik ultrasonun yaygın kullanımı ile sadece fetusun değil, aynı zamanda plasenta ve umbilikal kordun geniş çaplı değerlendirilmesi mümkün olmuştur. Umbilikal kord kistleri olan fetusların klinik seyri hakkındaki mevcut verilerin çoğu sınırlıdır, daha çok komplikasyon oranları ile ilgilidir ve vaka raporları ve küçük vaka serileri biçimindedir. Bu vaka sunumunda; üçüncü trimesterde izole umbilikal kord kisti ile prezente olan bir fetusun sonucunu sunmayı amaçladık. Fetüs, fetal distres nedeniyle sezaryen ile doğurtuldu ve operasyondan üç gün sonra perinatal asfiksi nedeniyle exitus oldu. Büyük umbilikal kistlerin hızlı büyüme durumunda kordon damarları üzerinde baskı ile fetal sıkıntıya neden olabileceği unutulmamalıdır. Umbilikal kordun ultrasonografik incelemesinin, muayenenin önemli kısımlarından biri olarak kabul edilmesi hayati önem taşımaktadır.

Keywords

• Umbilikal kist,fetal anomali,umbilikal kord

Perinatal Outcome of a Fetus Presenting with an Isolated Umbilical Cyst

Abstract

The widespread use of high-resolution obstetric ultrasound has allowed extensive evaluation not only of the fetus, but also of the placenta and umbilical cord. Most of the available data on complication rates and clinical course of fetuses with umbilical cord cysts are limited and is in the form of case reports and small case series. We aimed to present the outcome of a fetus with an isolated umbilical cord cyst on the third trimester. The fetus was delivered by cesarean section because of fetal distress and died three days later following the operation due to perinatal asphyxia. It should be remembered that large umbilical cysts may cause fetal distress by pressure on the cord vessels in case of rapid growth. It is vital to consider the ultrasonographic examination of the umbilical cord as one of the important parts of the examination.

Keywords

• Umbilical cyst,fetal anomaly,umbilical cord

References

1. 1. Rezende G, Júnior E .Prenatal diagnosis of placenta and umbilical cord pathologies by three-dimensional ultrasound: pictorial essay. Med Ultrason. 2015 Dec;17(4):545-9.
2. 2. Sepulveda W, Sebire NJ, Harris R, Nyberg DA. The placenta, umblical cord and membranes. In: Nyberg DA, Mc Gahan JP, Pretorius DH, Pilu G. editors. Diagnostic imaging of fetal anomalies. Lippincot Williams & Wilkins, Philadelphia,2003:85-132.
3. 3. Zangen R, Yaffe H. Umblical cord cyst- should it concern us. Harefuah. 2009;148(7):436-440.
4. 4. Moshiri M, Zaidi SF, Robinson TJ, Bhargava P, Siebert JR, Dubinsky TJ, Katz DS. Comprehensive imaging review of abnormalities of the umbilical cord. Radiographics. 2014;34:179–196.
5. 5. Fink IJ, Filly RA. Omphalocele associated with umbilical cord allantoic cyst: sonographic evaluation in utero. Radiology 1983; 149:473–476.
6. 6. Chen CP. Thoraco-omphalopagus conjoined twins associated with omphalocele and an umbilical cord cyst. Taiwan J Obstet Gynecol 2007; 46:183–184.
7. 7. Ratan SK, Ratan KN, Kalra R, Maheshwari J, Parihar D, Ratan J. Omphalomesenteric duct cyst as a content of omphalocele. Indian J Pediatr 2007; 74:500–502.
8. 8. Managoli S, Chaturvedi P, Vilhekar KY. Umbilical cord allantoic cysts in a newborn with VACTERL association. Indian J Pediatr 2004; 71:419– 421.

9. 9. Ghezzi F, Raio L, Di Naro E, Franchi M, Cromi A, Dürig P. Single and multiple umbilical cord cysts in early gestation: two different entities. Ultrasound Obstet Gynecol 2003; 21:215–219.
10. 10. Smith GN, Walker M, Johnston S, Ash K. The sonographic finding of persistent umbilical cord cystic masses is associated with lethal aneuploidy and/or congenital anomalies. Prenat Diagn 1996; 16: 1141–1147.
11. 11. Sepulveda W, Gutierrez J, Sanchez J, Be C, Schnapp C. Pseudocyst of the umbilical cord: prenatal sonographic appearance and clinical significance. Obstet Gynecol 1999; 93: 377–381.
12. 12. Ross JA, Jurkovic D, Zosmer N, Jauniaux E, Hacket E, Nicolaides KH. Umbilical cord cysts in early pregnancy. Obstet Gynecol 1997; 89: 442–445.
13. 13. Shipp TD, Bromley B, Benacerraf BR. Sonographically detected abnormalities of the umbilical cord. Int J Gynaecol Obstet 1995; 48: 179–185.
14. 14. Zangen R, Boldes R, Yaffe H, Schwed P, Weiner Z. Umbilical cord cysts in the second and third trimesters: significance and prenatal approach Ultrasound Obstet Gynecol 2010; 36: 296–301
15. 15. Iaccarino M, Baldi F, Persico O, Palagiano A. Ultrasonographic and pathologic study of mucoid degeneration of umblical cord. J Clin Ultrasound. 1986;14(2):127-129.
16. 16. Sepulveda W, Pryde PG, Greb AE, Romero R, Evans MI. Prenatal diagnosis of umblicalordpseudocyst. Ultrasound Obstet Gynecol. 1994;4:147-150
17. 17. Hannaford K, Reeves S, Wegner E.Umbilical cord cysts in the first trimester: are they associated with pregnancy complications? J Ultrasound Med. 2013 May;32(5):801-6. doi: 10.7863/ultra.32.5.801.