Double loop nuchal cord

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

23 weeks gestation antenatal scan.

Patient Data

Age: 30 years
Gender: Female

Antenatal scan

ultrasound

The umbilical cord shows:

  • double nuchal cord: the placental end crossed over the umbilical end (type A)
  • normal central insertion of the placental end
  • Normal 3-vessel configuration  
  • normal Doppler study

Case Discussion

A double loop nuchal cord is demonstrated in this case. It is considered type A, where the placental end crosses over the umbilical end of the cord. This type can undo itself and so follow up scan is recommended. Color Doppler helps to assess single or multiple turns of nuchal cord.

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