Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus [v1; ref status: indexed, http://f1000r.es/xx]

We report a baby with an unusual true umbilical cord cyst detected at 12 weeks gestation which as the pregnancy progressed became increasingly difficult to distinguish from a pseudocyst of the umbilical cord. Concern of the possibility of cord compression/cord accident led to an elective caesarean s...

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Main Authors: John Svigos, Sanjeev Khurana, Christopher Munt, Sanjay Sinhal, Julie Bernardo
Format: Article
Language:English
Published: F1000 Research Ltd 2013-02-01
Series:F1000Research
Subjects:
Online Access:http://f1000research.com/articles/2-38/v1
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author John Svigos
Sanjeev Khurana
Christopher Munt
Sanjay Sinhal
Julie Bernardo
author_facet John Svigos
Sanjeev Khurana
Christopher Munt
Sanjay Sinhal
Julie Bernardo
author_sort John Svigos
collection DOAJ
description We report a baby with an unusual true umbilical cord cyst detected at 12 weeks gestation which as the pregnancy progressed became increasingly difficult to distinguish from a pseudocyst of the umbilical cord. Concern of the possibility of cord compression/cord accident led to an elective caesarean section being performed at 35+ week’s gestation with delivery of a healthy female infant weighing 2170g. At birth the cyst ruptured and the resultant thickened elongated cord was clamped accordingly. After the cord clamp fell off at 5 days post delivery an elongated umbilical stump was left behind from which a stream of urine surprisingly jetted out from the umbilicus each time the baby cried. A patent urachus was confirmed on ultrasound and the umbilical jet of urine resolved at 4 weeks post delivery after treatment of an Escherichia coli urinary tract infection. At 11 weeks post delivery a laparoscopic excision of the urachus was successfully performed. The baby, now 18 months of age, continues to thrive without incident.
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spelling doaj.art-bbd5c7ced38148309f0710082e0b1e672022-12-21T18:58:07ZengF1000 Research LtdF1000Research2046-14022013-02-01210.12688/f1000research.2-38.v11221Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus [v1; ref status: indexed, http://f1000r.es/xx]John Svigos0Sanjeev Khurana1Christopher Munt2Sanjay Sinhal3Julie Bernardo4Ashford Hospital, Keswick, SA 5035, AustraliaFlinders Medical Centre, Adelaide, SA 5042, AustraliaAshford Hospital, Keswick, SA 5035, AustraliaFlinders Medical Centre, Adelaide, SA 5042, AustraliaFlinders Medical Centre, Adelaide, SA 5042, AustraliaWe report a baby with an unusual true umbilical cord cyst detected at 12 weeks gestation which as the pregnancy progressed became increasingly difficult to distinguish from a pseudocyst of the umbilical cord. Concern of the possibility of cord compression/cord accident led to an elective caesarean section being performed at 35+ week’s gestation with delivery of a healthy female infant weighing 2170g. At birth the cyst ruptured and the resultant thickened elongated cord was clamped accordingly. After the cord clamp fell off at 5 days post delivery an elongated umbilical stump was left behind from which a stream of urine surprisingly jetted out from the umbilicus each time the baby cried. A patent urachus was confirmed on ultrasound and the umbilical jet of urine resolved at 4 weeks post delivery after treatment of an Escherichia coli urinary tract infection. At 11 weeks post delivery a laparoscopic excision of the urachus was successfully performed. The baby, now 18 months of age, continues to thrive without incident.http://f1000research.com/articles/2-38/v1Pregnancy, Labor, Delivery & Postpartum Care
spellingShingle John Svigos
Sanjeev Khurana
Christopher Munt
Sanjay Sinhal
Julie Bernardo
Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus [v1; ref status: indexed, http://f1000r.es/xx]
F1000Research
Pregnancy, Labor, Delivery & Postpartum Care
title Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus [v1; ref status: indexed, http://f1000r.es/xx]
title_full Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus [v1; ref status: indexed, http://f1000r.es/xx]
title_fullStr Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus [v1; ref status: indexed, http://f1000r.es/xx]
title_full_unstemmed Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus [v1; ref status: indexed, http://f1000r.es/xx]
title_short Presentation of an umbilical cord cyst with a surprising jet: a case report of a patent urachus [v1; ref status: indexed, http://f1000r.es/xx]
title_sort presentation of an umbilical cord cyst with a surprising jet a case report of a patent urachus v1 ref status indexed http f1000r es xx
topic Pregnancy, Labor, Delivery & Postpartum Care
url http://f1000research.com/articles/2-38/v1
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