Dandy-Walker malformation - excessive Wharton jelly

Case contributed by Ammar Haouimi
Diagnosis probable

Presentation

G3P2 at 27 weeks of gestation with gestational diabetes

Patient Data

Age: 30 years
Gender: Female

The posterior fossa is moderately enlarged with a large cystic area communicating directly with a dilated fourth ventricle with no identification of the normal vermis. The supra-tentorial ventricular system is moderately dilated. No other fetal malformation. The fetal biometry was at 26 weeks + 5 days.

Swelling of the umbilical cord with normal vessels surrounded by a thick echogenic fluid in keeping with an excessive Wharton jelly.

Case Discussion

Case of probable Dandy-Walker malformation with a thickened umbilical cord from excessive Wharton jelly in a  patient with a gestational diabetes

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