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

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.PMID:34833486 | PMC:PMC8625092 | DOI:10.3390/medicina57111268

Source: Medicina (Kaunas) - November 27, 2021 Category: Universities & Medical Training Authors: Radu Botezatu Sandra Raduteanu Anca Marina Ciobanu Nicolae Gica Gheorghe Peltecu Anca Maria Panaitescu Source Type: research