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Pathology of the Umbilical Cord

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Manual of Pathology of the Human Placenta

Abstract

The allantoic duct arises at about the 16th day postconception, as a rudimentary outpouching of the caudal portion of the yolk sac (see Fig. 5.4 in Chap.  5). Normally, there is complete obliteration of the allantoic duct at 15 weeks’ gestation. A remnant, which connects the umbilicus to the bladder, persists as the median umbilical ligament. Occasionally, the duct persists as a minute connection to the fetal bladder. Allantoic duct remnants may be found in estimated 15% of umbilical cords and for unknown reasons; they are more common in males. In most cases they do not have connections with the fetal bladder.

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Selected References

  • PHP5, pages 380–451 (Anatomy and Pathology of the Umbilical Cord).

    Google Scholar 

  • Baergen RN, Malicki D, Behling CA, Benirschke K. Morbidity, mortality and placental pathology in excessively long umbilical cords. Pediatr Dev Pathol 2001;4:144–153.

    Article  CAS  PubMed  Google Scholar 

  • Bendon RW, Tyson RW, Baldwin VJ, et al. Umbilical cord ulceration and intestinal atresia: a new association? Am J Obstet Gynecol 1991;164:582–586.

    CAS  PubMed  Google Scholar 

  • Benirschke K. Obstetrically important lesions of the umbilical cord. J Reprod Med 1994;39:262–272.

    CAS  PubMed  Google Scholar 

  • Benirschke K, Bourne GL. The incidence and prognostic implication of congenital absence of one umbilical artery. Am J Obstet Gynecol 1960;79:251–254.

    CAS  PubMed  Google Scholar 

  • deLaat MW, Franx A, van Alderen ED, Nikkels PG, Visser GH. The umbilical coiling index, a review of the literature. J Matern Fetal Neonatal Med 2005;17:93–100.

    PubMed  Google Scholar 

  • Heifetz SA. Single umbilical artery: a statistical analysis of 237 autopsy cases and review of the literature. Perspect Pediatr Pathol 1984;8:345–378.

    CAS  PubMed  Google Scholar 

  • Heifetz SA. Thrombosis of the umbilical cord: analysis of 52 cases and literature review. Pediatr Pathol 1988;8:37–54.

    Article  CAS  PubMed  Google Scholar 

  • Heifetz SA, Rueda-Pedraza ME. Hemangiomas of the umbilical cord. Pediatr Pathol 1983;1:385–398.

    Article  CAS  PubMed  Google Scholar 

  • Jauniaux E, De Munter C, Vanesse M, et al. Embryonic remnants of the umbilical cord: morphologic and clinical aspects. Hum Pathol 1989;20:458–462.

    Article  CAS  PubMed  Google Scholar 

  • Lacro RV, Jones KL, Benirschke K. The umbilical cord twist: origin, direction, and relevance. Am J Obstet Gynecol 1987;157:833–838.

    CAS  PubMed  Google Scholar 

  • Naeye RL. Umbilical cord length: clinical significance. J Pediatr 1985;107:278–281.

    Article  CAS  PubMed  Google Scholar 

  • Qureshi F, Jacques SM. Marked segmental thinning of the umbilical cord vessels. Arch Pathol Lab Med 1994;118:826–830.

    CAS  PubMed  Google Scholar 

  • Sun Y, Arbuckle S, Hocking G, et al. Umbilical cord stricture and intrauterine fetal death. Pediatr Pathol Lab Med 1995;15:723–732.

    CAS  PubMed  Google Scholar 

  • Tantbirojn P, Saleemuddin A, Sirois K, Crum CP, Boyd TK, Tworoger S, Parast MM. Gross abnormalities of the umbilical cord: related placental histology and clinical significance. Placenta 2009;30:1083–1088.

    Article  CAS  PubMed  Google Scholar 

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Baergen, R.N. (2011). Pathology of the Umbilical Cord. In: Manual of Pathology of the Human Placenta. Springer, Boston, MA. https://doi.org/10.1007/978-1-4419-7494-5_15

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  • DOI: https://doi.org/10.1007/978-1-4419-7494-5_15

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