Umbilical cord ulcer associated with fetal jejunal atresia: report of 2 cases.
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.
Kimura
Takuya
T
Department of Pediatric Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. kimutaku@pedsurg.med.asaka-u.ac.jp
Usui
Noriaki
N
Kamata
Shinkichi
S
Kawahara
Hisayoshi
H
Sawai
Toshio
T
Hirano
Shinya
S
Wada
Kazuko
K
Tomimatsu
Takuji
T
Fukuda
Hirotsugu
H
Okada
Akira
A
D000328:Adult; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000150:complications* / Q000000981:diagnostic imaging; D007583:Jejunum / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011247:Pregnancy; D014456:Ulcer / Q000150:complications* / Q000151:congenital* / Q000000981:diagnostic imaging; D016216:Ultrasonography, Prenatal; D014470:Umbilical Cord