Document Detail

Neonate with a single umbilical vessel: a case report.
MedLine Citation:
PMID:  17694972     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The respiratory, metabolic and excretory functions of the placenta provide maintenance of fetuses in utero even in the presence of severe malformations that preclude postnatal survival. CASE: A 17-year-old secundigravida delivered a 1,075-g liveborn in the 30th week of gestation. The infant was severely malformed, with gastroschisis and a short umbilical cord, and survived for 62 minutes after birth. The placenta was examined pathologically, and a complete an autopsy was performed. The cord measured 13.0 cm long, the limit for absolute shortness. An 8.0-cm segment was found to contain only 1 umbilical vessel, basically a vein, with segmental arterial pads. CONCLUSION: The concurrence in a liveborn infant of malformations so severe it could not be sustained, a segment of umbilical cord with only 1 vessel and postnatal survival of 62 minutes emphasizes the biologic distinction between existence and vitality.
D Radford Shanklin; Jie Zhang
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  52     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-08-14     Completed Date:  2007-09-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  529-32     Citation Subset:  IM    
Department of Pathology and Laboratory Medicine, University of Tennessee Health Sciences Center, 930 Madison Avenue, Suite 599, Memphis, TN 38163, USA.
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MeSH Terms
Congenital Abnormalities
Fatal Outcome
Gastroschisis / complications*
Infant, Newborn
Placenta / pathology
Umbilical Cord / abnormalities*,  pathology
Umbilical Veins / abnormalities*,  pathology

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