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  • Title: Giant umbilical cord edema caused by retrograde micturition through an open patent urachus.
    Author: Schaefer IM, Männer J, Faber R, Loertzer H, Füzesi L, Seeliger S.
    Journal: Pediatr Dev Pathol; 2010; 13(5):404-7. PubMed ID: 20085482.
    Abstract:
    A giant umbilical cord is a rare finding in mature newborns and originates from different developmental etiologies. We report on a case of a mature female newborn presenting a 50 × 8-cm giant umbilical cord without further malformations. Antenatal sonographic findings of a diffuse giant umbilical cord, elevated creatinine levels of 1.3 mg/dL in umbilical cord edema, gross and histopathological findings of allantoic remnants, and umbilical urinary discharge lead to the diagnosis of a patent urachus with retrograde micturition into the umbilical cord. Postnatal surgical repair was required. In antenatal sonography, cystic and diffuse changes should be considered in the differential diagnosis of a giant umbilical cord. In cases of diffuse enlargement, elevated umbilical creatinine can support the diagnosis of a patent urachus with open leakage into the Wharton's jelly. Appropriate surgical management is required.
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