Umbilical cord ulceration after prenatal diagnosis of duodenal atresia with interstitial deletion of chromosome 13q: A case report

被引：9

作者：

Miyake, Hidehiko ^{[1
]}

Yamamoto, Akihito ^{[2
]}

Yamada, Takashi ^{[2
]}

Okazaki, Kaoru ^{[3
]}

Morita, Kiyoko ^{[3
]}

Kondo, Masatoshi ^{[3
]}

Ishida, Takafumi ^{[4
]}

Nishina, Takako ^{[4
]}

Yokota, Akishige ^{[2
]}

Nakai, Akihito ^{[2
]}

Takeshita, Toshiyuki ^{[2
]}

机构：

[1] Japanese Red Cross Katsushika Matern Hosp, Dept Obstet & Gynecol, Katsushika Ku, Tokyo 1240012, Japan

[2] Nippon Med Sch, Tokyo 113, Japan

[3] Tokyo Metropolitan Hachioji Childrens Hosp, Neonatol Unit, Tokyo, Japan

[4] Tokyo Metropolitan Hachioji Childrens Hosp, Div Pediat Surg, Tokyo, Japan

来源：

FETAL DIAGNOSIS AND THERAPY | 2008年 / 24卷 / 02期

关键词：

chromosome; 13; umbilical cord ulceration; intestinal atresia; duodenal atresia; fetal hemorrhage;

D O I：

10.1159/000142140

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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. Copyright (C) 2008 S. Karger AG, Basel.

引用

页码：115 / 118

页数：4

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