Prenatal Diagnosis of Umbilical Cord Ulcer: A Report of Two Cases
Umbilical cord ulcer is related to fetal intestinal atresia or meconium; perforation of the ulcer causes fetal deterioration leading to fetal and neonatal death owing to fetal hemorrhage. However, to the best of our knowledge, a method to diagnose umbilical cord ulcer prenatally is not available. No...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2019/3768761 |
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| author | Daisuke Katsura Suzuko Moritani Shunichiro Tsuji Kaori Hayashi Kazutaka Yamada Shinsuke Tokoro Kounosuke Suzuki Fuminori Kimura Takashi Murakami |
| author_facet | Daisuke Katsura Suzuko Moritani Shunichiro Tsuji Kaori Hayashi Kazutaka Yamada Shinsuke Tokoro Kounosuke Suzuki Fuminori Kimura Takashi Murakami |
| author_sort | Daisuke Katsura |
| collection | DOAJ |
| description | Umbilical cord ulcer is related to fetal intestinal atresia or meconium; perforation of the ulcer causes fetal deterioration leading to fetal and neonatal death owing to fetal hemorrhage. However, to the best of our knowledge, a method to diagnose umbilical cord ulcer prenatally is not available. No reports exist about the prenatal findings before perforation of umbilical cord ulcer using ultrasonography. We encountered two cases of umbilical cord ulcer showing ultrasonographic finding of a linear echo around the umbilical cord. Umbilical cord ulcers with an exposed umbilical cord artery in the first case and with perforation of the artery in the second case were diagnosed postnatally. When we encounter such ultrasonographic finding, especially with polyhydramnios and high amniotic bile acid concentration in cases of fetal intestinal atresia, risk of perforation of the umbilical cord ulcer should be included in the differential diagnosis. |
| format | Article |
| id | doaj-art-d62ca8e4235e483d8b9bf741ae39b137 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-d62ca8e4235e483d8b9bf741ae39b1372025-02-03T06:14:09ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922019-01-01201910.1155/2019/37687613768761Prenatal Diagnosis of Umbilical Cord Ulcer: A Report of Two CasesDaisuke Katsura0Suzuko Moritani1Shunichiro Tsuji2Kaori Hayashi3Kazutaka Yamada4Shinsuke Tokoro5Kounosuke Suzuki6Fuminori Kimura7Takashi Murakami8Department of Obstetrics and Gynecology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, JapanDepartment of Diagnostic Pathology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, JapanDepartment of Obstetrics and Gynecology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, JapanDepartment of Obstetrics and Gynecology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, JapanDepartment of Obstetrics and Gynecology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, JapanDepartment of Obstetrics and Gynecology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, JapanDepartment of Obstetrics and Gynecology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, JapanDepartment of Obstetrics and Gynecology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, JapanDepartment of Obstetrics and Gynecology, Shiga University of Medical Science Hospital, Setatsukinowa-cho, Otsu, Shiga 520-2192, JapanUmbilical cord ulcer is related to fetal intestinal atresia or meconium; perforation of the ulcer causes fetal deterioration leading to fetal and neonatal death owing to fetal hemorrhage. However, to the best of our knowledge, a method to diagnose umbilical cord ulcer prenatally is not available. No reports exist about the prenatal findings before perforation of umbilical cord ulcer using ultrasonography. We encountered two cases of umbilical cord ulcer showing ultrasonographic finding of a linear echo around the umbilical cord. Umbilical cord ulcers with an exposed umbilical cord artery in the first case and with perforation of the artery in the second case were diagnosed postnatally. When we encounter such ultrasonographic finding, especially with polyhydramnios and high amniotic bile acid concentration in cases of fetal intestinal atresia, risk of perforation of the umbilical cord ulcer should be included in the differential diagnosis.http://dx.doi.org/10.1155/2019/3768761 |
| spellingShingle | Daisuke Katsura Suzuko Moritani Shunichiro Tsuji Kaori Hayashi Kazutaka Yamada Shinsuke Tokoro Kounosuke Suzuki Fuminori Kimura Takashi Murakami Prenatal Diagnosis of Umbilical Cord Ulcer: A Report of Two Cases Case Reports in Obstetrics and Gynecology |
| title | Prenatal Diagnosis of Umbilical Cord Ulcer: A Report of Two Cases |
| title_full | Prenatal Diagnosis of Umbilical Cord Ulcer: A Report of Two Cases |
| title_fullStr | Prenatal Diagnosis of Umbilical Cord Ulcer: A Report of Two Cases |
| title_full_unstemmed | Prenatal Diagnosis of Umbilical Cord Ulcer: A Report of Two Cases |
| title_short | Prenatal Diagnosis of Umbilical Cord Ulcer: A Report of Two Cases |
| title_sort | prenatal diagnosis of umbilical cord ulcer a report of two cases |
| url | http://dx.doi.org/10.1155/2019/3768761 |
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