Gülşah İLHAN, Elif YILDIZ, Ayça KUBAT KÜÇÜKYURT, Fatma Ferda VERİT ATMACA

İzole Umbilikal Kist ile Prezente olan bir Fetusun Perinatal Sonuçları

Yüksek çözünürlüklü obstetrik ultrasonun yaygın kullanımı ile sadece fetusun değil, aynı zamanda plasenta ve umbilikal kordun geniş çaplı değerlendirilmesi mümkün olmuştur. Umbilikal kord kistleri olan fetusların klinik seyri hakkındaki mevcut verilerin çoğu sınırlıdır, daha çok komplikasyon oranları ile ilgilidir ve vaka raporları ve küçük vaka serileri biçimindedir. Bu vaka sunumunda; üçüncü trimesterde izole umbilikal kord kisti ile prezente olan bir fetusun sonucunu sunmayı amaçladık. Fetüs, fetal distres nedeniyle sezaryen ile doğurtuldu ve operasyondan üç gün sonra perinatal asfiksi nedeniyle exitus oldu. Büyük umbilikal kistlerin hızlı büyüme durumunda kordon damarları üzerinde baskı ile fetal sıkıntıya neden olabileceği unutulmamalıdır. Umbilikal kordun ultrasonografik incelemesinin, muayenenin önemli kısımlarından biri olarak kabul edilmesi hayati önem taşımaktadır.

Anahtar Kelimeler:

Umbilikal kist, fetal anomali, umbilikal kord

Perinatal Outcome of a Fetus Presenting with an Isolated Umbilical Cyst

The widespread use of high-resolution obstetric ultrasound has allowed extensive evaluation not only of the fetus, but also of the placenta and umbilical cord. Most of the available data on complication rates and clinical course of fetuses with umbilical cord cysts are limited and is in the form of case reports and small case series. We aimed to present the outcome of a fetus with an isolated umbilical cord cyst on the third trimester. The fetus was delivered by cesarean section because of fetal distress and died three days later following the operation due to perinatal asphyxia. It should be remembered that large umbilical cysts may cause fetal distress by pressure on the cord vessels in case of rapid growth. It is vital to consider the ultrasonographic examination of the umbilical cord as one of the important parts of the examination.

Keywords:

Umbilical cyst, fetal anomaly, umbilical cord,

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