Case of the Week # 343

Shona Whitmell, MRT(N), RDMS, CRGS

April 25, 2013 - May 09, 2013

Shona Whitmell, MRT(N), RDMS, CRGS
Diagnostic Imaging, Muskoka Algonquin Healthcare

Case report

This patient with normal pregancy and unremarkable personal and familial history.

Here are some of the images that we obtained:

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Answer

Case report

This is a case of forked umbilical cord.

Occasionally the original primordial umbilical artery fails to divide longitudinally in two umbilical arteries. The division starts at the placental end and extends towards the embryo. These cords will thus present with 3-vessel on the placental end but 2 on the fetal end. This case present the opposite situation with a normal 3-vessel cord at the fetal end, and confluence of both umbilical arteries in the cord into a single umbilcial atery at the placental end.

See more discussion on umbilical cord anomalies, please click here.

Figure 1: 3-vessel cord at the fetal end

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Figure 2
: 3-vessel cord and 2-vessel cord at the same plane.

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Figure 3, 4: 2-vessel umbilical cord on the placental end.

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Figure 5: 2-umbilical arteries along the bladder.

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