Abstract | BACKGROUND: To study the cytogenetics, ultrasound findings, biochemical screening, perinatal outcome, and associated abnormalities in cases of omphaloceles associated with umbilical cord cysts. METHODS: From 1988 to 1994, three cases of omphaloceles with umbilical cord cysts were identified at Mackay Memorial Hospital. We compared the clinical data of our three cases with six other cases in the published literature. RESULTS: CONCLUSION: The umbilical cord cysts most commonly associated with omphaloceles are pseudocysts and allantoic cysts. Among our three cases and the six other cases published in the literature, four out of these nine cases were trisomy 18. Prenatal diagnosis of omphaloceles or umbilical cord cysts by ultrasound warrants cytogenetic analysis and detailed sonogram to rule out the possible combination of both abnormalities and trisomy 18. If an omphalocele is associated with a large umbilical cord cyst and a normal karyotype, cesarean section is recommended to prevent the dilemma of intrauterine vascular compromise of umbilical blood flow during labor.
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Authors | C P Chen, S W Jan, F F Liu, S Chiang, S H Huang, J C Sheu, K G Wang, C C Lan |
Journal | Acta obstetricia et gynecologica Scandinavica
(Acta Obstet Gynecol Scand)
Vol. 74
Issue 10
Pg. 832-5
(Nov 1995)
ISSN: 0001-6349 [Print] United States |
PMID | 8533570
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Chorionic Gonadotropin, beta Subunit, Human
- alpha-Fetoproteins
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Topics |
- Abnormalities, Multiple
(diagnostic imaging, genetics)
- Abortion, Induced
- Adult
- Amniotic Fluid
(chemistry)
- Chorionic Gonadotropin, beta Subunit, Human
(analysis)
- Cytogenetics
- Female
- Fetal Growth Retardation
(complications, diagnostic imaging, genetics)
- Genetic Counseling
- Hernia, Umbilical
(complications, diagnostic imaging, genetics)
- Humans
- Infant, Newborn
- Karyotyping
- Pregnancy
- Trisomy
(diagnosis, genetics)
- Ultrasonography, Prenatal
- Umbilical Cord
- Urachal Cyst
(complications, diagnostic imaging, genetics)
- alpha-Fetoproteins
(analysis)
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