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Umbilical Cord Ulcer Associated with Fetal Jejunal Atresia: Report of 2 Cases

Kimura T.a · Usui N.a · Kamata S.a · Kawahara H.a · Sawai T.a · Hirano S.b · Wada K.b · Tomimatsu T.c · Fukuda H.c · Okada A.a

Author affiliations

Departments of aPediatric Surgery, bPediatrics and cObstetrics and Gynecology, Osaka University Graduate School of Medicine, Osaka, Japan

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Fetal Diagn Ther 2003;18:144–147

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Article / Publication Details

First-Page Preview
Abstract of Paper

Received: February 01, 2002
Accepted: May 24, 2002
Published online: May 02, 2003
Issue release date: May – June

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 1

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: https://www.karger.com/FDT

Abstract

We report 2 cases of umbilical cord ulcer associated with fetal jejunal atresia. Both of them developed a severe intrauterine hemorrhage, followed by fetal heart rate decelerations, and underwent emergency cesarean section. Bloody amniotic fluid and umbilical cord ulcers were observed in both cases. Although both cases were successfully resuscitated, neurological impairment and renal failure developed in 1 case due to prolonged asphyxia. In a review of the literature, umbilical cord ulcer was associated only with congenital duodenal atresia or jejunal atresia, but not with ileal atresia. Although the prenatal diagnosis of duodenal or upper jejunal atresia has been established, the prenatal diagnosis of this complication has not been reported. In such cases, detailed examination of the umbilical cord by ultrasonography may be useful for the prenatal diagnosis of this disease.

© 2003 S. Karger AG, Basel


References

  1. Cywes S, Rode H, Millar AJW: Gastrointestinal system: Jejunoileal atresia and stenosis; in Freeman NV, Burge DM, Griffiths M, Malone PSJ (eds): Surgery of the newborn. New York, Churchill Livingstone, 1994, pp 117–137.
  2. Bendon RW, Tyson RW, Baldwin VJ, Cashner KA, Mimouni F, Miodovnik M: Umbilical cord ulceration and intestinal atresia: A new association? Am J Obstet Gynecol 1991;164:582–586.
  3. Khong TY, Ford WDA, Haan EA: Umbilical cord ulceration in association with intestinal atresia in a child with deletion 13q and Hirschsprung’s disease. Arch Dis Child 1994;71:F212–F213.
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  5. Yamanaka M, Ohyama M, Koresawa M, Kawataki M, Ohsaki I, Tanaka Y: Umbilical cord ulceration and intestinal atresia. Eur J Obstet Gynecol Reprod Biol 1996;70:209–212.
  6. Ohyama M, Itani Y, Yamanaka M, Imaizumi K, Nishi T, Ijiri R, Tanaka Y: Umbilical cord ulcer: A serious in utero complication of intestinal atresia. Placenta 2000;21:432–435.
  7. Grand RJ, Watkins JB, Torti FM: Development of the human gastrointestinal tract: A review. Gastroenterology 1976;70:790–810.
  8. Raio L, Ghezzi F, Di Naro E, Franchi M, Brühwiler H, Lüscher KP: Prenatal assessment of Wharton’s jelly in umbilical cords with single artery. Ultrasound Obstet Gynecol 1999;14:42–46.

Article / Publication Details

First-Page Preview
Abstract of Paper

Received: February 01, 2002
Accepted: May 24, 2002
Published online: May 02, 2003
Issue release date: May – June

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 1

ISSN: 1015-3837 (Print)
eISSN: 1421-9964 (Online)

For additional information: https://www.karger.com/FDT


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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