Cord Cyst Research Articles

P25.11: The OEIS complex presented with large umbilical cord cyst in early gestation

P25.11: The OEIS complex presented with large umbilical cord cyst in early gestation

Correlação entre o achado ultra-sonográfico isolado de cisto de cordão umbilical e anomalias fetais

OBJETIVO: Correlacionar o achado ultra-sonográfico isolado de cisto de cordão umbilical com anomalias fetais, como cromossomopatias e alterações estruturais. Segundo a literatura médica, as implicações clínicas do achado ultra-sonográfico de cisto de cordão nos segundo e terceiro trimestres de gestação estão bem estabelecidas, entretanto, quando no primeiro trimestre, o significado ainda permanece controverso. MATERIAIS E MÉTODOS: Foi realizado estudo retrospectivo de gestantes da população geral, consecutivas, com fetos únicos e vivos, que apresentavam apenas o achado de cisto de cordão umbilical, num período de dez anos (1996-2006). Em todos os casos foram realizados exames ultra-sonográficos para o rastreamento de anomalias fetais após o diagnóstico de cisto de cordão. Os recém-nascidos e o cordão umbilical foram examinados após o parto para se verificar a presença de anomalias. RESULTADOS: Foram estudados nove casos que apresentavam cisto de cordão umbilical como único achado, sem outros marcadores ultra-sonográficos de anomalias fetais. Detectaram-se dois casos no primeiro trimestre de gestação e sete nos segundo e terceiro trimestres. Dois casos foram submetidos a estudo citogenético fetal, por meio de amniocentese. Nenhum recém-nascido apresentou anomalias estruturais ou aneuploidia. CONCLUSÃO: O achado ultra-sonográfico isolado de cisto de cordão umbilical não significou aumento de risco para anomalias estruturais ou aneuploidias.

POSTERIOR INTERNAL FIXATION WITH SHAPE-MEMORY TIGHTENING CLAMPS IN THE TREATMENT OF LOWER CERVICAL VERTEBRA ANTERIOR DISLOCATIONS

Objective. To analyze adaptation of shape-memory dynamical clamps to anatomical and morphological features of the cervical spine. Material and Methods. Fifty five patients with lower cervical spine dislocations were operated on by posterior fixation with tightening clamps. In 14 (25.0 %) patients the open reduction of dislocated vertebra and posterior clamp fixation were accompanied by the anterior fusion with a porous NiTi implant, while 42 (75.0 %) patients underwent only posterior operation. The treatment results in patients with spinal cord injury were evaluated using A.H. Martins criteria and ASIA/IMSOP scale. Delayed results were estimated 1–5 years after operation in 42 (75.0 %) patients. Results. Treatment results were assessed as good in 88.1 % of cases. Radiological examination revealed a decrease in disc height at injured and adjacent levels not more than 1 mm; instability, or kyphotic deformity were not registered. Implant area did not include the signs of resorption or osteosclerosis. Neurological disorders caused by posttraumatic spinal cord cyst were observed in one (2.4 %) patient in 1.5 years after surgery. In 4 (9.5 %) patients who underwent anterior and posterior fixation the treatment results were assessed as fair. Patients disability period was 96 ± 38 days. Conclusion. Two-axial fixation with coupled tightening clamps of shape-memory material provides the reliable stabilization of the injured vertebral motion segment. Preliminary posterior fixation for unstable injury facilitates the optimal performing of anterior interbody fusion with porous implants and ensures its absolute stability.

Intraoperative Ultrasonography of the Spinal Cord in Acute Spinal Cord Injury

Objective. To analyze application of intraoperative ultrasonography and Doppler ultrasonography in patients with acute spinal cord injury. Material and Methods. A complex of intraoperative ultrasonography examinations was performed in 10 patients before and after spinal cord decompression to study pathological structural and hemodynamic lesions. Dura mater, subdural space, liquor, spinal cord, roots of the spinal cord and cauda equina were studied. Color Doppler mapping and ultrasonic duplex scanning were used to identify the arterial and venous vessels of the spinal cord, their anatomic features, linear and volume velocities of the blood flow, resistive and pulsate indices. Doppler ultrasonography of spinal cord vessels included assessment of Doppler spectrum shape, velocity and resistive parameters of the blood flow in the spinal artery. Results. Complex ultrasonic visualization examinations reliably detected spinal cord compressions, cysts, hematoma, contusion foci and subdural hemorrhages. A vascular mode revealed spinal artery occlusion and stenosis, hyper- and hypoperfusion of spinal vessels, reduced blood flow and venous dyscirculation. Conclusion. Thus, methods of complex intraoperative spinal cord ultrasonography are found to be very effective for evaluation of local structural and hemodynamic disturbances caused by spinal cord injury. These ultrasonic techniques are simple in use, highly informative, and comparable with MRI data. These ultrasonic techniques may be recommended for wide application in acute spinal cord injury diagnostics.

Spermatic cord hydatid cyst: an unusual localization

Lesions of the groin include hernia, hydrocele, spermatic cord cyst, undescended testes, lymphadenopathy, and abscess. Hydatid cysts are endemic in certain regions of the world. They are usually located in the liver, lung, spleen, brain, and kidney. Although many uncommon locations have been reported, hydatid disease has been reported 3 times in the spermatic cord. This is the first report of a child with hydatid disease in the spermatic cord. A 9-year-old boy with a spermatic cord cyst proven to be a hydatid cyst is reported.

Umbilical cord cyst: a prenatal clue to bladder exstrophy

Umbilical cord cyst: a prenatal clue to bladder exstrophy

OC54: Sonographic detection of umbilical cord cysts and associated findings during pregnancy; a 5‐year experience

OC54: Sonographic detection of umbilical cord cysts and associated findings during pregnancy; a 5‐year experience

P27.08: Umbilical cord cyst: our experience and review of the literature

P27.08: Umbilical cord cyst: our experience and review of the literature

Thoraco-Omphalopagus Conjoined Twins Associated with Omphalocele and an Umbilical Cord Cyst

A 27-year-old primigravid woman was referred for sonographic examination at 19 gestational weeks because of suspected fetal abnormalities. The parents involved in this pregnancy were unrelated, and there was no history of diabetes mellitus, twinning or congenital malformations. The mother denied any exposure to drugs for ovulation prior to conception, and to teratogenic medications, irradiation or infectious diseases during the pregnancy. Sonographic examination performed at 19 gestational weeks revealed conjoined twins. The amniotic fluid volume was normal. The fetal biometry of both twins was consistent with the menstrual age. The twins were united face-to-face from the upper thorax down to the umbilicus, with associated omphalocele at the umbilical cord insertion. There was a 3 × 4 cm umbilical cord cyst around the omphalocele (Figure 1). The twins shared a common heart, liver and the anterior chest wall. The parents opted to terminate the pregnancy. The thoraco-omphalopagus conjoined twins, weighing 460 g, were delivered. Chromosome analysis revealed a karyotype of 46,XX. Autopsy confirmed the diagnosis of thoraco-omphalopagus. The twin fetuses shared a common sternum, heart, spleen, liver, diaphragm, pericardium and upper abdominal wall, with associated omphalocele and an umbilical cord cyst (Figures 2 and 3). Conjoined twinning is a rare congenital malformation that occurs in 1 in every 100 sets of monozygotic

Isolated Umbilical Cord Cyst: A Case Report

The authors report a case of a isolated giant umbilical cord cyst in an healthy newborn, which was not identified in prenatal ultrasound.

Diagnóstico ecográfico de quistes del cordón umbilical en el primer trimestre de la gestación

Although umbilical cord cysts are a relatively frequent entity they cannot be considered a nonpathological sonographic finding. In the first trimester pregnancies the prevalence of umbilical cord cysts has been reported about 3%. Sometimes are associated to other chromosomal and/or structural abnormalities. If they are persistent and progressive in the size, could restrict the fetal sanguineous flow. We report a case in which was detected prenatally in the first trimester multiple cysts of the umbilical cord in a 31-year-old woman. The amniocentesis (46XY) and later sonographic examination were normal. The cord cysts presented a progressive decrease in the size until they resolved in the sonographic control of the third trimester. A 3930 g male was delivered at 40 weeks without associate abnormalities.

OP10.08: Is uterine artery blood flow volume correlated to placental site in normal human pregnancies?

one case was lost to follow-up. Of the remaining 16 pregnancies, 15 women delivered at term and all the infants were healthy. The remaining case delivered a stillborn fetus at 28 week due to an E. coli intrauterine infection. The cause of death was considered unrelated to the PSC. Discussion: According to this series, PSCs are associated with a good perinatal outcome. In contrast with umbilical cord cysts, it is unlikely that PSCs can jeopardize fetal wellbeing, despite continuous growth during pregnancy in some of them. Owing to the close proximity to the umbilical cord in most cases, PSCs should be clearly differentiated from umbilical cord cysts, which carry a poorer prognosis.

Enteric duplication cyst resembling umbilical cord cyst

We report a case of a neonatal male with a prenatal diagnosis of umbilical cord cyst that was finally diagnosed as an ileal duplication cyst after post-natal surgical exploration of the umbilical mass. To our knowledge, a similar case has never been reported previously. Although this form of presentation of enteric duplication cyst is exceptional, it should be taken into consideration when evaluating suspected umbilical cord cysts.

Umbilical cord cyst detected in the first trimester by two- and three-dimensional sonography

A case of umbilical cord cyst was identified via 2-dimensional and 3-dimensional sonographic examination at 8 weeks' menstrual age. The cyst was solitary, measuring 18.0 mm, and it was located close to the placental insertion on the umbilical cord. The gestational sac and yolk sac diameters and the fetal heart rate were within normal ranges for menstrual age. Follow-up 3-Dimensional sonographic examination in the second trimester showed complete resolution of the cyst. Amniocentesis revealed a normal karyotype, and a normal infant was delivered at term.

Association of congenital anomalies and umbilical cord cysts

Association of congenital anomalies and umbilical cord cysts

OC18.03: Just images: Isolated multiple large umbilical cord cysts and thick prominent Wharton's jelly

OC18.03: Just images: Isolated multiple large umbilical cord cysts and thick prominent Wharton's jelly

Conservative Treatment of a Patient With Syringomyelia Using Chiropractic Biophysics Protocols

Objective To present a case of a 41-year-old man with syringomyelia and intractable pain and the subsequent reduction of symptoms. Clinical Features This patient acquired a traumatically induced syrinx in his upper cervical spinal cord after he fell approximately 9 feet and landed on his head, upper back, and neck 9 years before presenting for care. He was diagnosed with a spinal cord cyst (syrinx), located at approximately C2 through C4 after magnetic resonance imaging. In 1995, the patient underwent occipitoatlantal decompression surgery, which improved his symptoms for a short time. Intervention and Outcomes The patient was treated using Clinical Biomechanics of Posture protocol. The patient was seen 26 times over the course of 3 weeks. His scale for pain severity decreased 50% and other subjective complaints decreased. His posture improved based upon pretreatment and posttreatment lateral cervical radiographs, showing a change from a 10° lordosis with midcervical kyphosis to a 30° lordosis. One-year follow-up examination showed stable improvement in the cervical lordosis and pain intensity. Conclusion This case represents a change in subjective and objective measurements after conservative chiropractic care. This case provides an example that structural rehabilitation may have a positive effect on symptoms of a patient with syringomyelia.

A Case of Vocal Cord Cyst With Cryptococcal Infection

A Case of Vocal Cord Cyst With Cryptococcal Infection

Diagnóstico e tratamento do criptorquismo

Cryptorchidism corresponds to the extra-scrotal position of the testis, and can be found in 3% of the term newborns and 0.5 to 1.0% of adults. It is usually an isolated clinical feature, but in around 10% of the cases can be associated to hypothalamic-pituitary dysfunction and genetic or embryonic disorders. The presence of additional genital abnormalities, such as hypospadia or micropenis, increases the probability of the diagnosis of an intersex condition. Detailed description of the testicular anatomic position is essential to adequate diagnosis, treatment and prognostic evaluation. The diagnosis of cryptorchidism is made by clinical examination. The complementary exams, such as image analysis, add limited information on the diagnosis. Gonadotropins and testicular hormones measurement can be useful if the hypothalamic-pituitary-gonadal axis is activated, as observed during the first 6 months of life or during puberty. Clinical treatment is indicated in patients with retained testis or in severely retractile testis. In these cases, human chorionic gonadotropin is employed at a dose of 50 IU/kg/week for 6 consecutive weeks. Clinical treatment cannot be used in cases of confirmed inguinal hernia, varicocele or spermatic cord cysts. Surgical correction is indicated after failure of clinical treatment or for ectopic testes. The long-term prognosis of cryptorchidism seems to be related to the precocity of the therapy. Therefore, recognition and treatment of cryptorchid testes should be done during the first 2 years of life, potentially improving the risks of infertility and gonadal neoplasia.

Large pseudocyst of the umbilical cord associated with patent urachus

Cystic masses of the umbilical cord have been detected in the second and third trimesters of pregnancy in association with fetal abdominal wall defects and chromosomal anomalies. We present a case of an umbilical cord pseudocyst diagnosed using routine ultrasound at the 20 weeks of gestation. Serial sonography followed the progression of the cystic masses. A 2960-g male infant was delivered at term, in whom a patent urachus was detected. The infant underwent repair with closure of the patent urachus and plastic reconstruction of the abdominal wall, and the postoperative course was uneventful. This case demonstrated an uneventful outcome despite the persistent multiple cord cysts.