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Three-dimensional HDlive imaging of an umbilical cord cyst

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Abstract

Umbilical cord cysts (UCC) are a rare congenital malformation. Previous reports have suggested that the second- and third-trimester UCC may be associated with other structural anomalies or chromosomal abnormalities. Therefore, high-quality imaging is clinically important for the antenatal diagnosis of UCC and to conduct a precise anatomical survey of intrauterine abnormalities. There have been few reports of antenatal diagnosis of UCC with the conventional two- and three-dimensional ultrasonography. In this report, we demonstrate the novel visual depiction of UCC in utero with three-dimensional HDlive imaging, which helps substantially with prenatal diagnosis. A case with an abnormal placental mass at 16 weeks and 5 days of gestation was observed in detail using HDlive. HDlive revealed very realistic images of the intrauterine abnormality: the oval lesion was smooth with regular contours and a homogenous wall at the site of cord insertion on the placenta. In addition, we confirmed the absent of umbilical cord, placental, and fetal structural anomalies. Here, we report a case wherein HDlive may have provided clinically valuable information for prenatal diagnosis of UCC and offered a potential advantage relative to the conventional US.

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Acknowledgements

The authors gratefully acknowledge Dr. Takashi Minase of Sapporo Clinical Laboratory for his helpful comments and suggestions.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Sapporo Toho Hospital, Kita 17, Higashi 15, Higashi-ku, Sapporo, Hokkaido, 065-0017, Japan

    Eisuke Inubashiri, Hiina Minami, Yukio Watanabe & Masaki Sugawara

  2. Department of Clinical Laboratory, Sapporo Toho Hospital, Kita 17, Higashi 15, Higashi-ku, Sapporo, Hokkaido, 065-0017, Japan

    Naomi Nishiyama & Atushi Saitou

  3. University of Sunderland, Edinburgh Building, City Campus, Chester Road, Sunderland, SR1 3SD, UK

    Sayuri Tatedo

Authors
  1. Eisuke Inubashiri
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  2. Naomi Nishiyama
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  3. Sayuri Tatedo
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  4. Hiina Minami
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  5. Atushi Saitou
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  6. Yukio Watanabe
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  7. Masaki Sugawara
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Corresponding author

Correspondence to Eisuke Inubashiri.

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The authors have no conflicts of interest to declare.

Human rights statements and informed consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients for being included in the study. This study was approved by the local ethical committee of Sapporo Toho Hospital. Standardized written informed consent was obtained from each patient.

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Inubashiri, E., Nishiyama, N., Tatedo, S. et al. Three-dimensional HDlive imaging of an umbilical cord cyst. J Med Ultrasonics 45, 345–348 (2018). https://doi.org/10.1007/s10396-017-0813-6

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  • DOI: https://doi.org/10.1007/s10396-017-0813-6

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