Sonographic Prenatal Diagnosis of Allantoic Cyst

Abstract

A case of an allantoic cyst of the umbilical cord with urinary tract involvement was detected in a fetus by sonographic examination. The pregnancy was followed to term, and a healthy infant was born. Embryologic development of the umbilical cord, clinical significance, and differential diagnosis of cystic lesions of the cord are discussed.

Keywords

sonography fetus umbilical cord allantoic cyst omphalomesenteric duct cyst Wharton's jelly hemangioma angiomyxoma hematoma

References

1. Moore KL . The Developing Human, Second Edition. Philadelphia: WB Saunders, 1977;51-51,61-61,62-62,112-112,113-113,205-209,224-224.

2. Langman J . Medical Embryology, Second Edition. Baltimore: William and Wilkins, 1969;63-65,156-158,237-238,266-275.

3. Romero R , Pilu G , Jeanty P . et al. Prenatal Diagnosis of Congenital Anomalies. Norwalk: Appleton and Lange, 1988;391-397.

4. Herbst WP . Patent urachus. South Med J 1937;30:711-719.

5. Rempen AR . Sonographic first-trimester diagnosis of umbilical cord cyst. J Clin Ultrasound 1989;17:53-55.

6. Sachs L , Fourcroy JL , Wenzel DJ , et al. Prenatal detection of umbilical cord allantoic cyst. Radiology 1982;145:445-446.

7. Rosenberg JC , Chervenak FA , Walker BA , et al. Antenatal sonographic appearance of omphalomesenteric duct cyst. J Ultrasound Med 1986;5:719-720.

8. Middleton MA , Middleton WD , Wiele K . Sonography case of the day: allantoic cyst of the umbilical cord. AIR 1989;152:1324-1325.

9. Hughes HA , Feinstein SJ , Lodeiro JG , et al. Umbilical cord cyst presenting as an omphalocele at 15 weeks gestation: a case report. J Reprod Med 1990;35:658-660.

10.

10. Donnenfeld AE , Mennuti MT , Templeton JM , et al. Prenatal sonographic diagnosis of a vesico-allantoic abdominal wall defect. J Ultrasound Med 1989;8:43-45.

11.

11. Fink IJ , Filly RA . Omphalocele associated with umbilical cord allantoic cyst: sonographic evaluation in utero. Radiology 1983;149:473-476.

12.

12. Heifetz SA , Rueda-Pedraza ME . Omphalomesenteric duct cysts of the umbilical cord. Pediatr Pathol 1983;1:325-335.

13.

13. Blanc WA , Allan GW . Intrafunicular ulceration of persistent omphalomesenteric duct with intraamniotic hemorrhage and fetal death. Am J Obstet Gynecol 1961;82:1392-1396.

14.

14. Heifetz SA , Rueda-Pedraza ME . Hemangiomas of the umbilical cord. Pediatr Pathol 1983;1:385-398.

15.

15. Yavner DL , Redline RW . Angiomyxoma of the umbilical cord with massive cystic degeneration of Wharton's jelly. Arch Pathol Lab Med 1989;113:935-937.

16.

16. Jaunianx E , Campbell S , Vyes S . The use of color Doppler imaging for prenatal diagnosis of umbilical cord anomalies: report of three cases. Am J Obstet Gynecol 1989;161:1195-1197.

17.

17. Jauniaux E , Moscoso G , Chitty L , et al. An angiomyxoma involving the whole length of the umbilical cord. J Ultrasound Med 1990;9:419-422.

18.

18. Seifer DE , Ferguson JE II , Behrens CM , et al. Nonimmune hydrops fetalis in association with hemangioma of the umbilical cord. Obstet Gynecol 1985;66:283-286.

19.

19. Dippel AL . Hematomas of the umbilical cord. Surg Gynecol Obstet 1940;70:51-57.

20.

20. Schreier R , Brown S . Hematoma of the umbilical cord. Obstet Gynecol 1962;20:798-800.