Abstract
A true knot of the umbilical cord is a rare abnormality and most feared condition in perinatal management for obstetricians. When the true knot of the umbilical cord becomes tight, it can lead to the obstruction of the fetal circulation, development retardation, and even intrauterine death regardless of gestational week. In contrast, the true knot of the umbilical cord may not show any symptoms in the antenatal period and babies can be born in good health. Herein, we aimed to present a case of a true knot of the umbilical cord that coincidentally encountered during elective cesarean section in the light of the literature.
References
- 1. Räisänen S, Georgiadis L, Harju M, Keski‐Nisula L, Heinonen S. True umbilical cord knot and obstetric outcome. Int J Gynaecol Obstet 2013; 122(1): 18‐21.
- 2. Chan JSY, Baergen RN. Gross umbilical cord complications are associated with placental lesions of circulatory stasis and fetal hypoxia. Pediatr Dev Pathol 2012; 15: 487-94.
- 3. Bakas P, Papadakis E, Hassiakos D, Liapis A. Second-trimester miscarriage and umbilical cord knot. Case report and review of the literature. Clin Exp Obstet Gynecol 2013; 40: 448-51.
- 4. Stanek J. Association of coexisting morphological umbilical cord abnormality and clinical cord compromise with hypoxic and thrombotic placental histology. Virchows Arch 2016; 468(6): 723‐32.
- 5. Scioscia M, Fornalè M, Bruni F, Peretti D, Trivella G. Four dimensional and Doppler sonography in the diagnosis and surveillance of a true cord knot. J Clin Ultrasound 2011; 39: 157-9.
Abstract
Göbek kordonunun gerçek düğümü, perinatal yönetimde nadir görülen bir anormalliktir ve obstetrisyenler için çoğunlukla korkulan bir durumdur. Göbek kordonunun gerçek düğümü sıkılaştığında, gebelik haftasından bağımsız olarak fetal dolaşımın engellenmesine, gelişme geriliğine ve hatta intrauterin ölüme dahi yol açabilmektedir. Buna karşılık, göbek kordonunun gerçek düğümü antenatal dönemde herhangi bir belirti vermeyebilir ve bebekler sağlıklı doğabilmektedir. Burada, elektif sezaryen sırasında rastlantısal olarak karşılaşılan göbek kordonunun gerçek düğümü olgusunu literatür ışığında sunmayı amaçladık.
References
- 1. Räisänen S, Georgiadis L, Harju M, Keski‐Nisula L, Heinonen S. True umbilical cord knot and obstetric outcome. Int J Gynaecol Obstet 2013; 122(1): 18‐21.
- 2. Chan JSY, Baergen RN. Gross umbilical cord complications are associated with placental lesions of circulatory stasis and fetal hypoxia. Pediatr Dev Pathol 2012; 15: 487-94.
- 3. Bakas P, Papadakis E, Hassiakos D, Liapis A. Second-trimester miscarriage and umbilical cord knot. Case report and review of the literature. Clin Exp Obstet Gynecol 2013; 40: 448-51.
- 4. Stanek J. Association of coexisting morphological umbilical cord abnormality and clinical cord compromise with hypoxic and thrombotic placental histology. Virchows Arch 2016; 468(6): 723‐32.
- 5. Scioscia M, Fornalè M, Bruni F, Peretti D, Trivella G. Four dimensional and Doppler sonography in the diagnosis and surveillance of a true cord knot. J Clin Ultrasound 2011; 39: 157-9.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 30, 2021 |
| Submission Date | July 30, 2020 |
| Published in Issue | Year 2021 Volume: 10 Issue: 1 |
