Prenatal discovery of an omphalocele associated with an inner umbilical cord Meckel's diverticulum.
The antenatal discovery of Meckel's diverticulum is a rare occurrence; the localization of both Meckel's diverticulum and omphalocele in the umbilical cord has never been described. We present herein a prenatal case of an omphalocele associated with inner umbilical cord dilated Meckel's diverticulum. An umbilical cord cyst was suspected with the cystic image seen during the first trimester exam, and sonography was repeated every month. Several possible diagnoses were discussed including umbilical cord cyst, omphalocele and umbilical cord hernia due to the changing sonographic images during pregnancy. Childbirth had to be arranged at a specialized center. After birth, clamping of the umbilical cord away from the base prevented iatrogenic atresia of the ileum. Surgical treatment had to be arranged during the first days of life.
Department of Obstetric and Gynecology, CHU de Saint-Etienne, Hôpital Nord, Saint-Etienne Cedex 2, France.
Gauderique
G
Tourne
Celine
C
Chauleur
Marie Noëlle
MN
Varlet
Dominique
D
Tardieu
François
F
Varlet
Pierre
P
Seffert
D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006554:Hernia, Umbilical / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008467:Meckel Diverticulum / Q000000981:diagnostic imaging* / Q000601:surgery; D011247:Pregnancy; D016216:Ultrasonography, Prenatal