Abstract
The giant umbilical cord is a rare anomaly that is usually detected in the antenatal period and is
distinctive at birth. It is a condition where the diameter of the cord is more than 5 centimeters
in diameter. A normal umbilical cord measures approximately 2 centimeters in diameter. We
present a case of a giant umbilical cord in a male baby, in whom this condition was diagnosed
antenatally. At birth, its appearance is pathognomonic with a large, thickened cord filled with
viscid fluid called Wharton’s jelly. The umbilical vessels were apparent from the surface of the
cord. Surgical exploration which was done revealed no patent urachus. It is pertinent to rule out
other associated anomalies or differential diagnoses when encountering this condition.
Keywords : Umbilical anomaly, giant umbilical cord, umbilical pseudocyst
References
Young S, McGeechan A, Davidson P, et al. Arch Dis Child Fetal Neonatal Ed 2016;101:F538–F539.
Moshiri, Mariam, et al. “Comprehensive Imaging Review of Abnormalities of the Umbilical Cord.” RadioGraphics, 1 Jan. 2014, https://pubs.rsna.org/doi/10.1148/rg.341125127.
Dudiak CM, Salomon CG, Posniak HV, Olson MC, Flisak ME. Sonography of the umbilical cord. RadioGraphics 1995;15(5):1035–1050
Nobuhara KK, Lukish JR, Hartman GE, Gilbert JC. The giant umbilical cord: an unusual presentation of a patent urachus. J Pediatr Surg. 2004;39(1):128–129
Mugarab Samedi, V, Miller, G, Saade, E, Kalaniti, K. A giant umbilical cord: Benign finding or surgical emergency? Clin Case Rep. 2020; 8: 398– 399. https://doi.org/10.1002/ccr3.2663
Naiditch JA, Radhakrishnan J, Chin AC. Current diagnosis and management of urachal remnants. J Pediatr Surg. 2013;48(10):2148-2152.
Wildhaber BE, Antonelli E, Pfister RE. The giant umbilical cord. Archives of Disease in Childhood - Fetal and Neonatal Edition 2005;90:F535-F536
Rosner-Tenerowicz A, Florjanski J, Paslawski W, Piatek A, Zimmer M. Cystic dilatation of umbilical cord associated with patent urachus. Ginekol Pol. 2021;92(8):595-596. doi: 10.5603/GP.a2021.0156
Young, Simone; McGeechan, Anne; Davidson, Patricia; Deshpande, Aniruddh (2016). Management of the giant umbilical cord: challenging the need for investigations in the newborn. Archives of Disease in Childhood - Fetal and Neonatal Edition, 101(6), F538–F539. doi:10.1136/archdischild-2016-311092
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