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Intra-abdominal inverted umblical cord in gastroschisis: a unique ultrasound finding

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Abstract

A relatively new surgical technique allows for sutureless closure of a gastroschisis defect. Immediately after birth, a long umbilical cord stump is temporarily inverted into the abdominal cavity and later retracted and used to close the abdominal wall defect. Knowledge of this entity is important since the inverted umbilical cord simulates an intra-abdominal mass on cross-sectional imaging. While this procedure is well described in the surgical literature, the imaging features of inverted umbilical cord have yet to be reported. The case presented here highlights the sonographic imaging findings of the umbilical cord during the intestinal decompression phase of sutureless repair of gastroschisis.

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References

  1. Christison-Lagay ER, Kelleher CM, Langer JC (2011) Neonatal abdominal wall defects. Semin Fetal Neonatal Med 16:164–172

    Article  PubMed  Google Scholar 

  2. Holland AJ, Walker K, Badawi N (2010) Gastroschisis: an update. Pediatr Surg Int 26:871–878

    Article  PubMed  Google Scholar 

  3. Zani A, Ruttenstock E, Davenport M et al (2013) Is there unity in Europe? First survey of EUPSA delegates on the management of gastroschisis. Eur J Pediatr Surg 23:19–24

    PubMed  Google Scholar 

  4. Sandler A, Lawrence J, Meehan J et al (2004) A “plastic” sutureless abdominal wall closure in gastroschisis. J Pediatr Surg 39:738–741

    Article  PubMed  Google Scholar 

  5. Machida M, Takamizawa S, Yoshizawa K (2011) Umbilical cord inverting technique: a simple method to utilize the umbilical cord as a biologic dressing for sutureless gastroschisis closure. Pediatr Surg Int 27:95–97

    Article  PubMed  Google Scholar 

  6. Hunter AG, Stevenson RE (2008) Gastroschisis: clinical presentation and associations. Am J Med Genet C Semin Med Genet 148C:219–230

    Article  PubMed  Google Scholar 

  7. Orion KC, Krein M, Liao J et al (2011) Outcomes of plastic closure in gastroschisis. Surgery 150:177–185

    Article  PubMed  Google Scholar 

  8. Quan A, Leung SW, Lao TT et al (2003) 5-hydroxytryptamine and thromboxane A2 as physiologic mediators of human umbilical artery closure. J Soc Gynecol Investig 10:490–495

    Article  CAS  PubMed  Google Scholar 

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Correspondence to John D. MacKenzie.

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Koc, G., Courtier, J.L., Kim, J.S. et al. Intra-abdominal inverted umblical cord in gastroschisis: a unique ultrasound finding. Pediatr Radiol 44, 109–111 (2014). https://doi.org/10.1007/s00247-013-2765-3

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  • DOI: https://doi.org/10.1007/s00247-013-2765-3

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