Document Detail

Umbilical cord ulceration after prenatal diagnosis of duodenal atresia with interstitial deletion of chromosome 13q: a case report.
MedLine Citation:
PMID:  18648211     Owner:  NLM     Status:  MEDLINE    
Umbilical cord ulceration complicated by massive local hemorrhage may be a lethal event in the fetus, and this ulceration has been reported to be associated with upper intestinal atresia. The diagnosis of umbilical cord bleeding is difficult. We present a case of umbilical cord ulceration, hemorrhage, and duodenal atresia which had, in addition, an interstitial deletion of chromosome 13q. A female infant weighing 1,691 g was delivered by cesarean section at 34 weeks of gestation and had resuscitation and laparotomy. Just before the cesarean section, ultrasonography showed a 'double bubble' sign and a linear shadow, suggesting fibrin in the amniotic cavity. This finding may help in the diagnosis of bleeding from the cord.
Hidehiko Miyake; Akihito Yamamoto; Takashi Yamada; Kaoru Okazaki; Kiyoko Morita; Masatoshi Kondo; Takafumi Ishida; Takako Nishina; Akishige Yokota; Akihito Nakai; Toshiyuki Takeshita
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-07-17
Journal Detail:
Title:  Fetal diagnosis and therapy     Volume:  24     ISSN:  1421-9964     ISO Abbreviation:  Fetal. Diagn. Ther.     Publication Date:  2008  
Date Detail:
Created Date:  2008-07-23     Completed Date:  2008-09-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9107463     Medline TA:  Fetal Diagn Ther     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  115-8     Citation Subset:  IM    
Copyright Information:
(c) 2008 S. Karger AG, Basel.
Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Tokyo, Japan.
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MeSH Terms
Cesarean Section
Chromosome Deletion*
Chromosomes, Human, Pair 13*
Duodenal Obstruction / complications,  genetics,  pathology,  ultrasonography*
Hemorrhage / etiology*,  ultrasonography
Infant, Low Birth Weight
Infant, Newborn
Intestinal Atresia / complications,  genetics,  pathology,  ultrasonography*
Tomography, X-Ray Computed
Ulcer / etiology*,  ultrasonography
Ultrasonography, Prenatal*
Umbilical Cord / ultrasonography*

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