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KMID : 0358419940370071448
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Korean Journal of Obstetrics and Gynecology
1994 Volume.37 No. 7 p.1448 ~ p.1452
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Prenatal Diagnosis of Mucoid Degenerative Systs of the Umbilical Cord Associated with Neonatal Death-- A Case Report -
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송지홍
김정연/김세광/조재성/김행수/김지수/박용원/송찬호
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Abstract
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Degenerative areas with accumulation of mucoids in Wharton's jelly are not uncommon. Such degeneration may occasionally be so pronounced as to cause cyst formation. Mucoid degenerative cyst of the umbilical cord associated with neonatal death has
been
reported rarely in literature.
Recently we experienced a case of neonatal death caused by mucoid degenerative cysts of the umbilical cord. A 26-year-old primigravida woman was referred for ultrasound examination at 37 weeks' gestation. Ultrasonography revealed two cystic
masses
in
the umbilical cord which were located several centimeters away from the fetal umbilicus and hydramnios. Emergency cesarean section was taken due to late deceleration during progress of labor on the 37 weeks' gestation.
Thexwoman delivered a live 2290g male infant with Apgar scores of 2 nd 3 at one and five minutes. Soon later, we performed resuscitation due to apnea. But the neonate died at one hour after delivery.
Two mucoid degenerative cysts with dimention of 3.5×2.5Cm and 2×1Cm were located 2 Cm and 5Cm away from the neonatal umbilicus.
We present this case with brief review of the literatures.
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