Prenatal Diagnosis of a True Knot of the Umbilical Cord in Twins Pregnancy | OMICS International | Abstract
ISSN: 2376-127X

Journal of Pregnancy and Child Health
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Case Report

Prenatal Diagnosis of a True Knot of the Umbilical Cord in Twins Pregnancy

Eran Ashwal, Ron Bardin, Amir Aviram, Yoav Peled, Yariv Yogev and Liran Hiersch*
Department of Obstetrics and Gynecology, Helen Schneider Hospital for Women, Rabin Medical Center, Tel Aviv University, Israel
Corresponding Author : Liran Hiersch
Department of Obstetrics and Gynecology
Helen Schneider Hospital for Women
Rabin Medical Center
Tel Aviv University, Israel
Tel: +972-3-9377400
Fax: +972-3-9377409
E-mail: [email protected]
Received: October 09, 2015; Accepted: October 26, 2015; Published: November 02, 2015
Citation: Ashwal E, Bardin R, Aviram A, Peled Y, Yogev Y, et al. (2015) Prenatal Diagnosis of a True Knot of the Umbilical Cord in Twins Pregnancy. J Preg Child Health 2:198. doi:10.4172/2376-127X.1000198
Copyright: © 2015 Ashwal E, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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Background: True knot of the umbilical cord is an uncommon finding, which is difficult to diagnose antenatally. The appropriate management of patients with a sonographically identified true knot is yet to be determined.
Case: We present a twin pregnancy, in which antenatal diagnosis of a true knot of the umbilical cord was made at 33 weeks’ gestation. Fetal Doppler examination showed an absence of end diastolic flow in the umbilical artery of the second twin.
Conclusion: The appropriate management of patients with a true knot identified prenatally is unclear. Once diagnosis is suspected, further fetal surveillance is warranted.