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Images in neonatal medicine
Management of the giant umbilical cord: challenging the need for investigations in the newborn
  1. Simone Young1,
  2. Anne McGeechan2,
  3. Patricia Davidson3,
  4. Aniruddh Deshpande3
  1. 1 School of Medicine and Public Health, University of Newcastle, Callaghan, New South Wales, Australia
  2. 2 Department of Paediatrics, Maitland Hospital, Maitland, New South Wales, Australia
  3. 3 Department of Paediatric Surgery, John Hunter Children's Hospital, Newcastle, New South Wales, Australia
  1. Correspondence to Dr Simone Young, School of Medicine and Public Health, University of Newcastle, Unit 901, 7-9 Gibbons Street, Redfern, NSW 2016, Australia; simoneyoung{at}live.com
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http://dx.doi.org/10.1136/archdischild-2016-311092

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    A 28-week antenatal ultrasound revealed a male fetus with a grossly thickened umbilical cord, normal urinary tract and no other anomalies. Following delivery at 35 weeks, a giant umbilical cord (GUC) was noted, measuring 10 cm×12 cm and weighing an estimated 500 gm (figure 1). An abdominal ultrasound reported air tracking in the urachal remnant and the micturating cystourethrogram was normal. Cord fluid analysis was not suggestive of urine. The GUC was uneventfully ligated. …

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