Document Detail

Umbilical cord stricture and intrauterine fetal death.
MedLine Citation:
PMID:  8597858     Owner:  NLM     Status:  MEDLINE    
Umbilical cord stricture is an uncommon but distinctive condition associated with intrauterine fetal death. Although cases have been reported periodically since the last century, there has been considerable speculation as to whether the condition is real or a postmortem artifact. In the present study, 25 cases reported since 1925 are reviewed and 8 new cases are described. Clinically, a decrease in fetal movements is usually the only symptom during the second or third trimester of pregnancy and fetal death occurs soon after. The women's age, health, and previous history have shown no link with this condition, but a higher incidence is noted in twin pregnancies. Morphologically, most infants are macerated and an extremely narrow segment of umbilical cord is usually seen at the fetal end and rarely at the placental end or in multiple sites along the cord. Absence of Wharton's jelly, stenosis, or obliteration of cord vessels at the narrow segment and intravascular cord thrombosis are the major pathological features. The findings of this study support the view that the condition can cause fetal death and alerts both pathologists and clinicians to the important features identifying this cause of perinatal wastage.
Y Sun; S Arbuckle; G Hocking; V Billson
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatric pathology & laboratory medicine : journal of the Society for Pediatric Pathology, affiliated with the International Paediatric Pathology Association     Volume:  15     ISSN:  1077-1042     ISO Abbreviation:  Pediatr Pathol Lab Med     Publication Date:    1995 Sep-Oct
Date Detail:
Created Date:  1996-04-22     Completed Date:  1996-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9518033     Medline TA:  Pediatr Pathol Lab Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  723-32     Citation Subset:  IM    
Department of Anatomical Pathology, Royal Women's Hospital, Melbourne, Australia.
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MeSH Terms
Constriction, Pathologic / complications
Fetal Death / etiology*,  pathology*
Pregnancy Trimester, Second
Pregnancy Trimester, Third
Umbilical Arteries / pathology
Umbilical Cord / pathology*
Umbilical Veins / pathology

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