Umbilical Cord Ulcer Associated with Fetal Jejunal Atresia: Report of 2 Cases

We report 2 cases of umbilical cord ulcer associated with fetal jejunal atresia. Both of them developed a severe intrauterine hemorrhage, followed by fetal heart rate decelerations, and underwent emergency cesarean section. Bloody amniotic fluid and umbilical cord ulcers were observed in both cases....

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Bibliographic Details
Published inFetal diagnosis and therapy Vol. 18; no. 3; pp. 144 - 147
Main Authors Kimura, Takuya, Usui, Noriaki, Kamata, Shinkichi, Kawahara, Hisayoshi, Sawai, Toshio, Hirano, Shinya, Wada, Kazuko, Tomimatsu, Takuji, Fukuda, Hirotsugu, Okada, Akira
Format Journal Article
LanguageEnglish
Published Basel, Switzerland Karger 01.05.2003
S. Karger AG
Subjects
Adult
Biological and medical sciences
Diseases of mother, fetus and pregnancy
Female
Gynecology. Andrology. Obstetrics
Humans
Infant, Newborn
Intestinal Atresia - complications
Intestinal Atresia - diagnostic imaging
Jejunum - abnormalities
Jejunum - diagnostic imaging
Medical sciences
Pregnancy
Pregnancy. Fetus. Placenta
Ulcer - complications
Ulcer - congenital
Ulcer - diagnostic imaging
Ultrasonography, Prenatal
Umbilical Cord
Umbilical cord ulcer, prenatal diagnosis
Intestinal atresia
Ultrasonography
Human
Digestive system
Gut
Case study
Association
Jejunum
Malformation
Echography
Atresia
Digestive diseases
Fetus
Ulcer
Umbilical cord
Diagnosis
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Summary:We report 2 cases of umbilical cord ulcer associated with fetal jejunal atresia. Both of them developed a severe intrauterine hemorrhage, followed by fetal heart rate decelerations, and underwent emergency cesarean section. Bloody amniotic fluid and umbilical cord ulcers were observed in both cases. Although both cases were successfully resuscitated, neurological impairment and renal failure developed in 1 case due to prolonged asphyxia. In a review of the literature, umbilical cord ulcer was associated only with congenital duodenal atresia or jejunal atresia, but not with ileal atresia. Although the prenatal diagnosis of duodenal or upper jejunal atresia has been established, the prenatal diagnosis of this complication has not been reported. In such cases, detailed examination of the umbilical cord by ultrasonography may be useful for the prenatal diagnosis of this disease.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:1015-3837
1421-9964
DOI:10.1159/000069367