Umbilical cord ulceration: An underdiagnosed entity.
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.
Department of Pathology, Maulana Azad Medical College, New Delhi, India.
Barkha
B
Maheshwari
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Maitrayee
M
Roy
Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Shipra
0000-0001-7037-4444
S
Agarwal
Department of Pathology, Maulana Azad Medical College, New Delhi, India.
S
S
Devi
Department of Pathology, Maulana Azad Medical College, New Delhi, India.
Ashu
A
Singh
Department of Pathology, Maulana Azad Medical College, New Delhi, India.
Nita
N
Khurana
Department of Obstetrics and Gynecology, Maulana Azad Medical College, New Delhi, India.
Sangeeta
S
Gupta
Intestinal atresia; Intrauterine hemorrhage; Umbilical cord ulcer; Whartson's jelly
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