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Umbilical Cord Cyst
Roya Sohaey, MD
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Abbreviations

            • Umbilical cord cyst (UCC)
          • Definitions

            • Cyst or cysts associated with umbilical cord (UC)
            • 2 types: True cyst and pseudocyst
              • True cyst has an epithelial lining
                • Allantoic cyst
                • Omphalomesenteric duct cyst
                • Urachal cyst
              • Pseudocyst has no epithelial lining
                • Wharton jelly edema/degeneration

          IMAGING

          • General Features

            • Ultrasonographic Findings

              • Imaging Recommendations

                DIFFERENTIAL DIAGNOSIS

                  PATHOLOGY

                  • General Features

                    • Gross Pathologic & Surgical Features

                      • Microscopic Features

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Bonilla F Jr et al: Umbilical cord cysts: evaluation with different 3-dimensional sonographic modes. J Ultrasound Med. 29(2):281-5, 2010
                                    2. Zangen R et al: Umbilical cord cysts in the second & third trimesters- the significance and prenatal approach. Ultrasound Obstet Gynecol. Epub ahead of print, 2010
                                    3. Fuchs F et al: Prenatal diagnosis of a patent urachus cyst with the use of 2D, 3D, 4D ultrasound and fetal magnetic resonance imaging. Fetal Diagn Ther. 24(4):444-7, 2008
                                    4. Tong SY et al: Umbilical cord cyst: a prenatal clue to bladder exstrophy. Prenat Diagn. 27(12):1177-9, 2007
                                    5. Emura T et al: Omphalocele associated with a large multilobular umbilical cord pseudocyst. Pediatr Surg Int. 20(8):636-9, 2004
                                    6. Kilicdag EB et al: Large pseudocyst of the umbilical cord associated with patent urachus. J Obstet Gynaecol Res. 30(6):444-7, 2004
                                    7. Ghezzi F et al: Single and multiple umbilical cord cysts in early gestation: two different entities. Ultrasound Obstet Gynecol. 21(3):215-9, 2003
                                    8. Kiran H et al: Pseudocyst of the umbilical cord with mucoid degeneration of Wharton's jelly. Eur J Obstet Gynecol Reprod Biol. 111(1):91-3, 2003
                                    9. Sepulveda W: Beware of the umbilical cord 'cyst'. Ultrasound Obstet Gynecol. 21(3):213-4, 2003
                                    10. Sepulveda W et al: Clinical significance of first trimester umbilical cord cysts. J Ultrasound Med. 18(2):95-9, 1999
                                    11. Sepulveda W et al: Pseudocyst of the umbilical cord: prenatal sonographic appearance and clinical significance. Obstet Gynecol. 93(3):377-81, 1999
                                    12. Sepulveda W et al: Prenatal diagnosis of umbilical cord pseudocyst. Ultrasound Obstet Gynecol. 4(2):147-50, 1994
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Imaging

                                      • Top Differential Diagnoses

                                        • Pathology

                                          • Clinical Issues

                                            TERMINOLOGY

                                            • Abbreviations

                                              • Umbilical cord cyst (UCC)
                                            • Definitions

                                              • Cyst or cysts associated with umbilical cord (UC)
                                              • 2 types: True cyst and pseudocyst
                                                • True cyst has an epithelial lining
                                                  • Allantoic cyst
                                                  • Omphalomesenteric duct cyst
                                                  • Urachal cyst
                                                • Pseudocyst has no epithelial lining
                                                  • Wharton jelly edema/degeneration

                                            IMAGING

                                            • General Features

                                              • Ultrasonographic Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Gross Pathologic & Surgical Features

                                                        • Microscopic Features

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  DIAGNOSTIC CHECKLIST

                                                                  • Consider

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Bonilla F Jr et al: Umbilical cord cysts: evaluation with different 3-dimensional sonographic modes. J Ultrasound Med. 29(2):281-5, 2010
                                                                      2. Zangen R et al: Umbilical cord cysts in the second & third trimesters- the significance and prenatal approach. Ultrasound Obstet Gynecol. Epub ahead of print, 2010
                                                                      3. Fuchs F et al: Prenatal diagnosis of a patent urachus cyst with the use of 2D, 3D, 4D ultrasound and fetal magnetic resonance imaging. Fetal Diagn Ther. 24(4):444-7, 2008
                                                                      4. Tong SY et al: Umbilical cord cyst: a prenatal clue to bladder exstrophy. Prenat Diagn. 27(12):1177-9, 2007
                                                                      5. Emura T et al: Omphalocele associated with a large multilobular umbilical cord pseudocyst. Pediatr Surg Int. 20(8):636-9, 2004
                                                                      6. Kilicdag EB et al: Large pseudocyst of the umbilical cord associated with patent urachus. J Obstet Gynaecol Res. 30(6):444-7, 2004
                                                                      7. Ghezzi F et al: Single and multiple umbilical cord cysts in early gestation: two different entities. Ultrasound Obstet Gynecol. 21(3):215-9, 2003
                                                                      8. Kiran H et al: Pseudocyst of the umbilical cord with mucoid degeneration of Wharton's jelly. Eur J Obstet Gynecol Reprod Biol. 111(1):91-3, 2003
                                                                      9. Sepulveda W: Beware of the umbilical cord 'cyst'. Ultrasound Obstet Gynecol. 21(3):213-4, 2003
                                                                      10. Sepulveda W et al: Clinical significance of first trimester umbilical cord cysts. J Ultrasound Med. 18(2):95-9, 1999
                                                                      11. Sepulveda W et al: Pseudocyst of the umbilical cord: prenatal sonographic appearance and clinical significance. Obstet Gynecol. 93(3):377-81, 1999
                                                                      12. Sepulveda W et al: Prenatal diagnosis of umbilical cord pseudocyst. Ultrasound Obstet Gynecol. 4(2):147-50, 1994