Absence of Wharton's jelly

• Autor: Romero Rojas, Nery
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español; inglés
• OAI Identifier: oai:ginecologiayobstetricia.pe:article/2602
• Enlace del recurso: https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2602
• Nivel de acceso: acceso abierto
• Materia: Umbilical cord; anomaly; Wharton jelly; absence; Stillbirth; Cordón umbilical; anomalía; Gelatina de Wharton; ausencia; Mortinato

Absence of Wharton's jelly is a rare entity in which the umbilical cord vessels arepartially or completely separated from the umbilical cord. It is associated withimportant fetal morbidity and mortality. Since its first report in 1961, only 12 caseshave been documented to date. We present two cases of this entity. The first oneoccurred in a 21-year-old primigesta whose ultrasound study showed a nuchalcord and oligohydramnios. A 2,620 g male neonate was born and died a few hourslater. The second case was in a 31-year-old multigesta with a history of HIV positivityand abortion. She presented with a 375 g male fetus with left renal agenesis andabdominal and cerebral hemorrhage. In these cases, a 9 cm and 7.8 cm segment ofumbilical artery was found, respectively, separated from the umbilical cord.