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Titolo:
A surviving neonate after multiple complete torsion of the umbilical cord
Autore:
Glaubitz, M; Dressler, F; Kuske, M; Peulecke, W; Sohn, C;
Indirizzi:
Hannover Med Sch, Oststadt Krankenhaus, Zentrum Fraunenheilkunde, Abt Geburtshilfe Pranataldiagnost & Allgemeine Gy, D-30659 Hannover, Germany Hannover Med Sch Hannover Germany D-30659 Gy, D-30659 Hannover, Germany Hannover Med Sch, Inst Pathol, Hannover, Germany Hannover Med Sch Hannover Germany d Sch, Inst Pathol, Hannover, Germany
Titolo Testata:
GEBURTSHILFE UND FRAUENHEILKUNDE
fascicolo: 10, volume: 61, anno: 2001,
pagine: 800 - 803
SICI:
0016-5751(200110)61:10<800:ASNAMC>2.0.ZU;2-9
Fonte:
ISI
Lingua:
GER
Soggetto:
FETAL DEATH; PRENATAL OBSERVATION; CONSTRICTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
19
Recensione:
Indirizzi per estratti:
Indirizzo: Glaubitz, M Hannover Med Sch, Oststadt Krankenhaus, Zentrum Fraunenheilkunde, Abt Geburtshilfe Pranataldiagnost & Allgemeine Gy, Podbielskistr 380, D-30659 Hannover, Germany Hannover Med Sch Podbielskistr 380 Hannover Germany D-30659 y
Citazione:
M. Glaubitz et al., "A surviving neonate after multiple complete torsion of the umbilical cord", GEBURTSH FR, 61(10), 2001, pp. 800-803

Abstract

A complete torsion Of the umbilical cord is mostly thought to be a secondary phenomenon following intrauterine death. But there is also evidence for umbilical cord torsion being the cause of intrauterine demise. Several factors are thought to be predisposing to an umbilical cord torsion, such as a very short or verly long cord or partial aplasia of Wharton's jelly. To date, no report of a child surviving multiple complete torsion of the umbilical cord has been published. We report oil a 31-year old 11-gravida, I-para with an uneventful pregnancy and normal fetal development on ultrasound. 10 hours after intracervical priming in the 41 + 0 gestational week cardiotocogram abruptly showed severe pathological fetal heart rate alterations. Emergency cesarean section was performed and a pale-asphytic neonate was delivered (weight 3390 g, umbilical cord arterial pH 6.96, Apgar 7 - 8 - 10). Amniotic fluid was clear. The umbilical cord was twisted twice right next to the fetal insertion. 20 cm distally even a triple torsion could be found. Histopathological examination shows a complete and mature placenta without any abnormalities. The umbilical cord was 65 cm long and contained three vessels. The distal 20 cm showed marked edema with severe diffuse bleeding intothe cordal stroma. This case demonstrates that umbilical cord torsion not only results after intrauterine demise but can rather be the reason for fetal distress and probable intrauterine death. Unfortunately, due to the lackof specific early symptoms, detection of an impending umbilical cord torsion is hardly possible. Therefore survival of a fetus with umbilical cord torsion is mostly owed to unique and lucky circumstances, as in Our case presented.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 20:55:22