Presentation
G3P2 at 27 weeks of gestation with gestational diabetes
Patient Data
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