About-Cardio
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We provide our users the most up-to-date and accurate information on the treatment and prevention of cardio pathologies in accordance with current American and European clinical guidelines.
The information provided on this website is for educational purposes only and should not be considered medical advice. Always consult a licensed physician for diagnosis and treatment.
Umbilical Cord Cysts: What You Need to Know
Introduction
Umbilical cord cysts are fluid-filled structures that can be found in the umbilical cord during pregnancy. They are usually detected during routine ultrasound examinations. Understanding their implications is important for assessing fetal health.
Types of Umbilical Cord Cysts
There are two main types of umbilical cord cysts:
- True Cysts - These are lined with epithelium and originate from remnants of embryologic structures such as the allantois or the omphalomesenteric duct.
- Pseudocysts - These do not have an epithelial lining and are caused by localized edema or degeneration of Wharton’s jelly, the gelatinous substance that cushions the umbilical cord.
Clinical Significance
- Isolated cysts in early pregnancy are often benign and may resolve spontaneously.
- Persistent or multiple cysts can be associated with chromosomal abnormalities (e.g., trisomy 18), structural malformations, or placental insufficiency.
- Cysts found in the second or third trimester require careful evaluation to rule out fetal anomalies.
Diagnosis and Management
- Ultrasound is the primary tool for detecting and monitoring umbilical cord cysts.
- Chromosomal testing (e.g., amniocentesis or non-invasive prenatal testing) may be recommended if cysts are accompanied by other abnormal findings.
- Fetal echocardiography might be needed if the cysts are linked to congenital heart defects.
- Close follow-up with serial ultrasounds is often advised to track cyst development and ensure healthy fetal growth.
Conclusion
While most umbilical cord cysts are harmless, a thorough evaluation is needed to exclude associated anomalies. If detected, consult with a maternal-fetal medicine specialist to determine the appropriate next steps.
Source recommendations
1. American College of Obstetricians and Gynecologists Guidelines
- https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline
- https://www.guidelinecentral.com/guidelines/ACOG/
- https://www.acog.org/clinical
- https://pmc.ncbi.nlm.nih.gov/articles/PMC1724598/
- https://www.acog.org/
2. European Society of Human Reproduction and Embryology Guidelines
- https://www.eshre.eu/Guidelines-and-Legal
- https://pubmed.ncbi.nlm.nih.gov/35350465/
- https://www.eshre.eu/
- https://academic.oup.com/humrep/article/31/5/926/1749616
- https://www.eshre.eu/guideline/endometriosis
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If you or your loved ones experience any of these symptoms, you should consult a doctor in time. Remember that self-medication can be dangerous, and timely diagnosis will preserve the quality and life expectancy.
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