Fig. 4

A true knot of the umbilical cord. Transabdominal Ultrasonography at 25 weeks of gestation: 2DUS demonstrating a transverse section of the UC surrounded by a loop of UC that creates the “hanging noose"sign (A). Confirmation was made by 2DUS (A, B, C) and 3D HD-flow (D) tracking the UC passing into its loop. And this case was identified at delivery (E). 2DUS, two-dimension ultrasound; 3D HD-flow, three-dimensional high-definition flow; UC, umbilical cord