TRUE UMBILICAL CORD KNOT: CASE REPORT

• Autores: García Agudelo, Lorena, Leguizamón Martínez, Sandra Yaneth, Holguín Barrera, Mónica Liseth
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Instituto Nacional Materno Perinatal
• Repositorio: Revista Peruana de Investigación Materno Perinatal
• Lenguaje: español
• OAI Identifier: oai:investigacionmaternoperinatal.inmp.gob.pe:article/405
• Enlace del recurso: https://investigacionmaternoperinatal.inmp.gob.pe/index.php/rpinmp/article/view/405
• Nivel de acceso: acceso abierto
• Materia: Cordón Umbilical; Puntaje de Apgar; Recién Nacido Pequeño para la Edad Gestacional; Ultraso-nografía Prenatal; Umbilical Cord; Apgar Score; Infant, Small for Gestational Age; Ultrasonography, Prenatal

True umbilical cord knot (TUCK) is an uncommon obstetric finding that may compromise fetal circulation and has been associated with intrapartum fetal distress and adverse perinatal outcomes. We report the case of a 33-year-old multiparous woman at 39.6 weeks of gestation after in vitro fertilization, with normal prenatal follow-up and a long umbilical cord. She was admitted in latent labor with reassuring maternal and fetal status. During labor progression, fetal monitoring changed from a reactive tracing to decreased variability and a non-reassuring fetal heart rate pattern, prompting emergency cesarean delivery. A female newborn was delivered with spontaneous adaptation, Apgar scores of 8 and 10, normal physical examination, and favorable neonatal evolution. Postnatal inspection revealed a true umbilical cord knot and a long cord. This case highlights the diagnostic difficulty of TUCK before birth and underscores the importance of continuous intrapartum surveillance and timely obstetric intervention when fetal compromise is suspected.