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A misdiagnosed case of a 150-cm umbilical cord coiled twice around the fetal neck with a true cord knot: A rare Syrian case report

Title: A misdiagnosed case of a 150-cm umbilical cord coiled twice around the fetal neck with a true cord knot: A rare Syrian case report
Authors: Hanna, Majd; Martini, Nafiza; Deeb, Yara; Mahmoud, Wissam; Issa, Samar Yhia
Source: SAGE Open Medical Case Reports ; volume 11 ; ISSN 2050-313X 2050-313X
Publisher Information: SAGE Publications
Publication Year: 2023
Description: The normal umbilical cord is a crucial component during pregnancy, but sometimes it could become compromised due to some abnormalities such as excessive long umbilical cord, and though they usually end up with a healthy baby, they may lead to severe consequences. Excessive long umbilical cords are found in 4% of pregnancies and represent a risk factor for nuchal cords and true knots. We report a case of a 37-year-old Syrian pregnant woman who presented to the hospital at 37 weeks of gestation asking for a C-section for a fear of ambiguous ultrasound findings that have been interpreted as fetal malformation. At delivery, a healthy baby was born with a 150-cm umbilical cord, a true knot, and double-looped nuchal cords; the formation of the loops and the knot had been attributed to the elongated cord. Besides, ultrasound imaging could sometimes be deceptive and lead to unnecessary interventions; therefore, cord anomalies should always be kept in mind because they do not always represent a justification for a C-section.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1177/2050313x231164858
DOI: 10.1177/2050313X231164858
Availability: https://doi.org/10.1177/2050313x231164858; https://journals.sagepub.com/doi/pdf/10.1177/2050313X231164858; https://journals.sagepub.com/doi/full-xml/10.1177/2050313X231164858
Rights: https://creativecommons.org/licenses/by-nc/4.0/
Accession Number: edsbas.14E6E88D
Database: BASE