Sudden fetal death associated with both duodenal atresia and umbilical cord ulcer: A case report and review

Ai Anami, Seiichi Morokuma, Kiyomi Tsukimori, Haruhiko Kondo, Masahiro Nozaki, Katsuo Sueishi, Hitoo Nakano

Research output: Contribution to journalReview articlepeer-review

14 Citations (Scopus)

Abstract

We encountered one case of duodenal atresia complicated by massive intrauterine hemorrhage due to the perforation of an umbilical cord ulceration (UCU). UCU is an extremely rare complication in the perinatal period. Although the prenatal diagnosis of upper intestinal atresia has been established, little is known about the association between UCU and upper intestinal atresia. In this article, we report our case, review past articles, and discuss the underlying pathophysiological mechanisms of the cause of an UCU. Given the characteristic sites of upper intestinal atresia, we speculate that regurgitation of gastric or intestinal juice into the amniotic fluid could be responsible for the development of UCU. We also believe that close observation is required for patients who have upper intestinal atresia.

Original languageEnglish
Pages (from-to)183-188
Number of pages6
JournalAmerican Journal of Perinatology
Volume23
Issue number3
DOIs
Publication statusPublished - Apr 2006
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynaecology

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