Intrauterine hemorrhage from an umbilical cord ulcer associated with fetal duodenal atresia: a case report |
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Authors: | Nobuhiro Hidaka Yoshihide Chiba |
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Institution: | (1) Department of Perinatology, National Cardiovascular Center, Osaka, Japan;(2) Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan;(3) 3-1-1 Maidashi, Higashiku, 812-8582 Fukuoka, Japan |
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Abstract: | In the recent years, the association between congenital intestinal atresia and umbilical cord ulceration has been demonstrated;
however, this complication is rarely encountered. To the best of our knowledge, only 14 cases on this association have been
published previously. We encountered a case of acute intrauterine hemorrhage from an umbilical cord ulcer in a fetus with
duodenal atresia that resulted in early neonatal death. There is little information available on the association between congenital
intestinal atresia and umbilical cord ulceration. Greater understanding may alter the obstetric management. Although the prevention
of sudden perinatal death is considered to be difficult, frequent fetal monitoring and detailed ultrasonographic examinations
may facilitate the early detection of this condition, thereby enabling the rescue of the affected fetuses. Further investigation
is required to establish the management protocol. |
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Keywords: | Umbilical cord ulcer Duodenal atresia Intrauterine hemorrhage Wharton’ s jelly |
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