J Pathol Transl Med.  2019 Mar;53(2):145-147. 10.4132/jptm.2018.10.24.

Wharton Jelly Hair in a Case of Umbilical Cord Stricture and Fetal Death

Affiliations
  • 1Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ckim@amc.seoul.kr
  • 2Department of Obstetrics and Gynecology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

No abstract available.


MeSH Terms

Constriction, Pathologic*
Fetal Death*
Hair*
Umbilical Cord*
Wharton Jelly*

Figure

  • Fig. 1. Major characteristics of the fetus. (A) Infantogram shows hypoplastic small rib cage (arrow). (B) The stillborn macerated fetus has no coiling of the umbilical cord (arrow).

  • Fig. 2. Gross features of the placenta and the umbilical cord. (A) The umbilical cord is marginally inserted, and the connecting chorionic plate vasculature is tortuous and prominent (red arrow). The umbilical cord shows abrupt constriction (white arrow) and associated segmental edema of the Wharton jelly (yellow arrow). (B) A view from the maternal side of the placenta shows a constriction in the umbilical cord (white arrow). The placental parenchyma is pale and edematous (red arrow).

  • Fig. 3. Microscopic features of the umbilical cord at the stricture. (A) Dense fibrosis of the Wharton jelly at the site of constriction (right) and adjacent edematous Wharton jelly (left). (B) Multiple hair follicles (yellow arrows) and capillaries (red arrows). (C, D) Hair shafts (black arrows) with adjacent papillary mesenchymal body of the hair follicles (yellow arrows) and capillaries (red arrows).


Reference

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