Umbilical Cord Ulcer Associated with Fetal Jejunal Atresia: Report of 2 Cases
Umbilical Cord Ulcer Associated with Fetal Jejunal Atresia: Report of 2 Cases
复制标题
脐带溃疡合并胎儿空肠闭锁2例报告
DOI：
10.1159/000069367
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发表时间：
2003
影响因子：
2.2
通讯作者：
A. Okada
中科院分区：
文献类型：
--
作者：
Takuya Kimura;N. Usui;S. Kamata;H. Kawahara;T. Sawai;Shinya Hirano;Kazuko Wada;T. Tomimatsu;H. Fukuda;A. Okada
我们报告2例脐带溃疡合并胎儿空肠闭锁。他们都出现了严重的宫内出血，随后是胎儿心率减慢，并接受了紧急剖宫产手术。两例患者均有羊水出血和脐带溃疡。虽然两例均成功复苏，但1例因长时间窒息而出现神经损伤和肾功能衰竭。在文献回顾中，脐带溃疡仅与先天性十二指肠闭锁或空肠闭锁有关，而与回肠闭锁无关。虽然十二指肠或上空肠闭锁的产前诊断已经建立，但该并发症的产前诊断尚未报道。在这种情况下，通过超声检查脐带的详细检查可能有助于这种疾病的产前诊断。
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.