Short umbilical Cord syndrome (body Stalk)

Abstract

The abnormality of the development of the body stem constitutes an entity characterized by the presence of multiple rupture malformations, among which is a serious defect of closure of the abdominal wall with evisceration of the thoraco abdominal organs, severe kyphoscoliosis, absence of fusion between the chorion and the amnion, and short or absent umbilical cord. This entity is the most severe and rarest of the anterior abdominal wall defects, its incidence being 1 in 14 000 births. The present case refers to a 22-year-old woman, a firth pregnancy from the rural area of Santa Rosa de Lima, La Unión, 28 weeks of gestational age, a fetus was found with a defect in the anterior abdominal wall plus a cystic image of the spine by means of ultrasound. Spontaneous labor begins at 37 weeks; cesarean section is performed for fetal malformations. Newborn with ambiguous genitalia and multiple malformations of the anterior abdominal wall, spine and lower limbs, confirmed the diagnosis of short umbilical cord syndrome, verified by the pediatrician who applies newborn care, dying after 15 minutes of life.