Absence of Wharton’s Jelly at the Abdominal Site of the Umbilical Cord Insertion. Rare Case Report and Review of the Literature

Wharton’s jelly is a specialized connective tissue surrounding and protecting umbilical cord vessels. In its absence, the vessels are exposed to the risk of compression or rupture. Because the condition is very rare and there are no available antepartum investigation methods for diagnosis, these cas...

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Autores principales:	Radu Botezatu, Sandra Raduteanu, Anca Marina Ciobanu, Nicolae Gica, Gheorghe Peltecu, Anca Maria Panaitescu
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	Wharton’s Jelly absence abnormal cardiotocography umbilical cord Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a939ab7b85d3440aa9d8949ca563cef7
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spelling	oai:doaj.org-article:a939ab7b85d3440aa9d8949ca563cef72021-11-25T18:19:05ZAbsence of Wharton’s Jelly at the Abdominal Site of the Umbilical Cord Insertion. Rare Case Report and Review of the Literature10.3390/medicina571112681648-91441010-660Xhttps://doaj.org/article/a939ab7b85d3440aa9d8949ca563cef72021-11-01T00:00:00Zhttps://www.mdpi.com/1648-9144/57/11/1268https://doaj.org/toc/1010-660Xhttps://doaj.org/toc/1648-9144Wharton’s jelly is a specialized connective tissue surrounding and protecting umbilical cord vessels. In its absence, the vessels are exposed to the risk of compression or rupture. Because the condition is very rare and there are no available antepartum investigation methods for diagnosis, these cases are usually discovered after delivery, frequently after in utero fetal demise. We report the fortunate case of a 29-year-old nulliparous woman, with an uncomplicated pregnancy, admitted at 39 weeks in labor where a persistently abnormal cardiotocographic trace led to delivery by cesarean section of a healthy 3500 g newborn. After delivery, a Wharton’s jelly anomaly was identified at the abdominal umbilical insertion (umbilical cord vessels, approximately 1 cm in length, were completely uncovered by Wharton’s jelly), which required surgical thread elective ligation. In the presence of a persistently abnormal CTG trace, in a pregnancy with no clinical settings suggestive of either chronic or acute fetal hypoxemia, the absence of Wharton’s jelly should be taken into consideration in the differential diagnosis.Radu BotezatuSandra RaduteanuAnca Marina CiobanuNicolae GicaGheorghe PeltecuAnca Maria PanaitescuMDPI AGarticleWharton’s Jelly absenceabnormal cardiotocographyumbilical cordMedicine (General)R5-920ENMedicina, Vol 57, Iss 1268, p 1268 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Wharton’s Jelly absence abnormal cardiotocography umbilical cord Medicine (General) R5-920
spellingShingle	Wharton’s Jelly absence abnormal cardiotocography umbilical cord Medicine (General) R5-920 Radu Botezatu Sandra Raduteanu Anca Marina Ciobanu Nicolae Gica Gheorghe Peltecu Anca Maria Panaitescu Absence of Wharton’s Jelly at the Abdominal Site of the Umbilical Cord Insertion. Rare Case Report and Review of the Literature
description	Wharton’s jelly is a specialized connective tissue surrounding and protecting umbilical cord vessels. In its absence, the vessels are exposed to the risk of compression or rupture. Because the condition is very rare and there are no available antepartum investigation methods for diagnosis, these cases are usually discovered after delivery, frequently after in utero fetal demise. We report the fortunate case of a 29-year-old nulliparous woman, with an uncomplicated pregnancy, admitted at 39 weeks in labor where a persistently abnormal cardiotocographic trace led to delivery by cesarean section of a healthy 3500 g newborn. After delivery, a Wharton’s jelly anomaly was identified at the abdominal umbilical insertion (umbilical cord vessels, approximately 1 cm in length, were completely uncovered by Wharton’s jelly), which required surgical thread elective ligation. In the presence of a persistently abnormal CTG trace, in a pregnancy with no clinical settings suggestive of either chronic or acute fetal hypoxemia, the absence of Wharton’s jelly should be taken into consideration in the differential diagnosis.
format	article
author	Radu Botezatu Sandra Raduteanu Anca Marina Ciobanu Nicolae Gica Gheorghe Peltecu Anca Maria Panaitescu
author_facet	Radu Botezatu Sandra Raduteanu Anca Marina Ciobanu Nicolae Gica Gheorghe Peltecu Anca Maria Panaitescu
author_sort	Radu Botezatu
title	Absence of Wharton’s Jelly at the Abdominal Site of the Umbilical Cord Insertion. Rare Case Report and Review of the Literature
title_short	Absence of Wharton’s Jelly at the Abdominal Site of the Umbilical Cord Insertion. Rare Case Report and Review of the Literature
title_full	Absence of Wharton’s Jelly at the Abdominal Site of the Umbilical Cord Insertion. Rare Case Report and Review of the Literature
title_fullStr	Absence of Wharton’s Jelly at the Abdominal Site of the Umbilical Cord Insertion. Rare Case Report and Review of the Literature
title_full_unstemmed	Absence of Wharton’s Jelly at the Abdominal Site of the Umbilical Cord Insertion. Rare Case Report and Review of the Literature
title_sort	absence of wharton’s jelly at the abdominal site of the umbilical cord insertion. rare case report and review of the literature
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/a939ab7b85d3440aa9d8949ca563cef7
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Absence of Wharton’s Jelly at the Abdominal Site of the Umbilical Cord Insertion. Rare Case Report and Review of the Literature

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