Document Detail

Sudden fetal death associated with both duodenal atresia and umbilical cord ulcer: a case report and review.
MedLine Citation:
PMID:  16586238     Owner:  NLM     Status:  MEDLINE    
We encountered one case of duodenal atresia complicated by massive intrauterine hemorrhage due to the perforation of an umbilical cord ulceration (UCU). UCU is an extremely rare complication in the perinatal period. Although the prenatal diagnosis of upper intestinal atresia has been established, little is known about the association between UCU and upper intestinal atresia. In this article, we report our case, review past articles, and discuss the underlying pathophysiological mechanisms of the cause of an UCU. Given the characteristic sites of upper intestinal atresia, we speculate that regurgitation of gastric or intestinal juice into the amniotic fluid could be responsible for the development of UCU. We also believe that close observation is required for patients who have upper intestinal atresia.
Ai Anami; Seiichi Morokuma; Kiyomi Tsukimori; Haruhiko Kondo; Masahiro Nozaki; Katsuo Sueishi; Hitoo Nakano
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2006-03-29
Journal Detail:
Title:  American journal of perinatology     Volume:  23     ISSN:  0735-1631     ISO Abbreviation:  Am J Perinatol     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-04-21     Completed Date:  2006-10-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  183-8     Citation Subset:  IM    
Department of Obstetrics and Gynecology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
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MeSH Terms
Diagnosis, Differential
Duodenum / abnormalities*
Fetal Death
Intestinal Atresia / complications,  diagnosis*,  embryology,  ultrasonography
Pregnancy Trimester, Third
Ulcer / complications,  diagnosis*,  embryology,  ultrasonography
Ultrasonography, Prenatal*
Umbilical Cord*

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