Umbilical cord ulceration: An underdiagnosed entity.
10.5468/ogs.2016.59.5.388
- Author:
Barkha MAHESHWARI
1
;
Maitrayee ROY
;
Shipra AGARWAL
;
S DEVI
;
Ashu SINGH
;
Nita KHURANA
;
Sangeeta GUPTA
Author Information
1. Department of Pathology, Maulana Azad Medical College, New Delhi, India.
- Publication Type:Case Report
- Keywords:
Intestinal atresia;
Intrauterine hemorrhage;
Umbilical cord ulcer;
Whartson's jelly
- MeSH:
Bradycardia;
Female;
Hemorrhage;
Intestinal Atresia;
Membranes;
Obstetric Labor, Premature;
Perinatal Mortality;
Pregnancy;
Rupture;
Ulcer*;
Umbilical Cord*
- From:Obstetrics & Gynecology Science
2016;59(5):388-392
- CountryRepublic of Korea
- Language:English
-
Abstract:
Umbilical cord ulceration is a rare condition presenting with sudden fetal bradycardia due to fetal hemorrhage and in most cases leading to intrauterine death. A strong association with intestinal atresia has been reported. Most cases present after 30 weeks of gestation, with preterm labor or rupture of membranes followed by sudden fetal bradycardia. We report two such cases of umbilical cord ulceration and review the available literature. One of the cases interestingly presented at 26 weeks, much earlier than what is reported in the world literature. In view of high perinatal mortality and morbidity, awareness of this condition is mandatory for timely and appropriate management to improve the fetal outcome.
