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KMID : 0358420160590050388
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Korean Journal of Obstetrics and Gynecology
2016 Volume.59 No. 5 p.388 ~ p.392
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Umbilical cord ulceration: An underdiagnosed entity
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Barkha Maheshwari
Maitrayee Roy
Shipra Agarwal
S Devi
Ashu Singh
Nita Khurana
Sangeeta Gupta
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Abstract
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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.
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KEYWORD
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Intestinal atresia, Intrauterine hemorrhage, Umbilical cord ulcer, Whartson's jelly
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