title: Sudden fetal hemorrhage from umbilical cord ulcer associated with congenital intestinal atresia.
abstract: There have been several reports of umbilical cord ulcer (UCU) associated with congenital intestinal atresia, many cases of which have been reported with fetal or neonatal death. Herein is described the case of a fetus with jejunal atresia complicated by acute massive intrauterine hemorrhage due to the perforation of UCU resulting in an intact survival. Although the onset of critical condition in the present case was noted due to continuous fetal heart rate (FHR) monitoring, it is necessary to establish the management of congenital intestinal atresia to prevent this life-threatening fetal hemorrhage.
authors.affiliation: Department of Obstetrics, Center for Perinatal Medicine, Nagano Children's Hospital, Nagano, Japan.
authors.forename: Keiko
authors.initials: K
authors.lastname: Miyachi
authors.forename: Akihiko
authors.initials: A
authors.lastname: Kikuchi
authors.forename: Masako
authors.initials: M
authors.lastname: Kitsunezaki
authors.forename: Sorahiro
authors.initials: S
authors.lastname: Sunagawa
authors.forename: Takehiko
authors.initials: T
authors.lastname: Hiroma
authors.forename: Kimiyo
authors.initials: K
authors.lastname: Takagi
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Ogiso
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Nakamura
mesh_terms: D000328:Adult; D002585:Cesarean Section; D005260:Female; D005333:Fetus; D006340:Heart Rate, Fetal; D006470:Hemorrhage / Q000473:pathology*; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000473:pathology* / Q000601:surgery; D007583:Jejunum / Q000002:abnormalities* / Q000601:surgery; D008297:Male; D011247:Pregnancy; D014456:Ulcer / Q000150:complications / Q000473:pathology; D014470:Umbilical Cord / Q000473:pathology*