Published: 2021-12-28

Absence of Wharton's jelly around an umbilical artery

Mouhamadou Wade, Mamour Gueye, Aissatou Mbodji, Mame D. Ndiaye


Wharton's jelly is a mucoid, avascular and connective tissue which plays the role of umbilical vessels protection. Its absence exposes to poor neonatal outcomes or fetal death. We report a rare case of Absence of Wharton’s Jelly, diagnosed by examination of the placenta the examination with a live fetus.


Umbilical cord, Absence of Wharton jelly, Neonatal outcome

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Chasnoff IJ, Fletcher MA. True knot of the umbilical cord. Am J Obstet Gynecol. 1977;127:425‑7.

Bergman P, Lundin P, Malmstrom T. Mucoid degeneration of the Wharton’s jelly: an umbilical cord threatening foetal life. Acta Obstet Gynecol Scand. 1961;40:372‑8.

Thomson LL, Hoo JJ. Linear disruption of umbilical cord: a rare anomaly of the cord associated with acute fetal distress and perinatal death/profound psychomotor retardation. Am J Med Genet. 1996;62:348‑9.

Trivedi S, Ratanoo L, Purohit S, Rastogi P. Absence of Wharton’s jelly: an association with feto-maternal morbidity. Int J Reprod Contracept Obstet Gynecol. 2020;9(3):1318‑20.

Kulkarni ML. Absence of Wharton’s Jelly around the umbilical arteries. Indian J Pediatr. 2007;74(8):787‑9.

Oliveira CC, Dufloth RM, Coelho KIR. Absence of Wharton’s jelly: case report. J Bras Patol Med Lab. 2014;50(6):452‑5.

Labarrere C, Sebastiani M, Siminovich M, Torassa E, Althabe O. Absence of Wharton’s jelly around the umbilical arteries: an unusual cause of prenatal mortality. Placenta. 1985;6:555‑9.

Damascenoa EB, de Limab PP. Wharton’s Jelly absence : a case of stillbirth. Autopsy Case Rep. 2013;3(4):43‑7.

Padykula HA. The Human Placenta. In: Weiss L, editor. Cell and Tissue Biology. Urban and Schwarzenberg, Inc. 1988;899-928.

Filiz A, Rahine B, Keskin HL, Esra AK. Positive correlation between the quantity of Wharton’s jelly in the umbilical cord and birth weight. Taiwan J Obstet Gynecol. 2011;150:33‑6.

Silver RK, Dooley SL, Tamura RK, Depp R. Umbilical cord size and amniotic fluid volume in prolonged pregnancy. Am J Obstet Gynecol. 1987;157:716‑20.

Barbieri C, Cecatti JG, Surita FG, Costa ML, Marussi EF, Costa JV. Area of Wharton’s jelly as an estimate of the thickness of the umbilical cord and its relationship with estimated fetal weight. Reprod Health. 2011;8(37-7).