CC BY-NC-ND 4.0 · AJP Rep 2024; 14(03): e205-e207
DOI: 10.1055/s-0044-1790207
Case Report

Congenital Umbilical Cord Hernia: Prenatal and Postnatal Management

1   Department of Maternal Fetal Medicine, Loyola University Medical Center, Maywood, Illinois
,
Daisy Marty
2   Department of Neonatology, Loyola University Medical Center, Maywood, Illinois
,
Barbara Folga
3   Department of Pediatrics, Loyola University Medical Center, Maywood, Illinois
,
Layan Alrahmani
1   Department of Maternal Fetal Medicine, Loyola University Medical Center, Maywood, Illinois
› Author Affiliations

Abstract

Congenital umbilical cord hernia is often misdiagnosed and easily confused with a small omphalocele. It is different from postnatally diagnosed umbilical hernias and is believed to arise from persistent physiological mid-gut herniation. Its incidence is estimated to be 1 in 5,000, although some articles reported the incidence rate of approximately 0.2%. It is very important to clearly diagnose these cases in the antenatal period so that the patients receive appropriate management postnatally and to decrease the stress in the parents as well. Umbilical cord hernias have not been associated with other chromosomal anomalies.

In this article, we describe a case of a patient who was diagnosed with an umbilical cord mass for which the course prenatally and postnatally was uncomplicated. It is very important to avoid misdiagnosing these cases, so that patients are appropriately treated in the postnatal course and to prevent complications such as bowel injury during cord clamping.



Publication History

Received: 06 July 2024

Accepted: 04 August 2024

Article published online:
29 August 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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