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Umbilical artery thrombosis (UAT) has a low incidence rate\ncompared with umbilical venous thrombosis. Discordant umbilical arteries (DUAs), wherein the\nsize of the arteries is different, has rarely been reported, and the smaller umbilical artery has also\nbeen described as the hypoplastic umbilical artery (HUA). UAT and HUA/DUAs can be related\nto poor perinatal outcomes or fetus malformation. We herein present a case of a nulliparous and\nprimigravid 37-year-old Japanese pregnant woman, with sonographic diagnosis of single umbilical\nartery at 24 weeks of gestation by the loss of left-sided umbilical artery. Subsequently, serological\ntest showed elevated serum immunoglobulin M (IgM) and IgG antibodies for cytomegalovirus\n(CMV). Neither morphological nor growth abnormality of the fetus was sonographically found,\nand no CMV DNA was detected in the vaginal discharge. Clinical follow-up was performed, and\nthe fetus was small for gestational age during the course of the observation. At 40 and 5/7 weeks\nof gestation, vaginal delivery was attempted, but cesarean delivery was performed because fetal\ndistress was suspected by cardiotocography. An appropriate-for-age female neonate without\nanomaly was born, and the Apgar score was 8 and 9 after 1 and 5 min, respectively. Neither\nelevated serum anti-CMV IgM antibodies nor presence of CMV DNA in the urine was found in\nthe neonate. Six days after cesarean section, the mother and neonate were discharged without\nany problems. A thin and hypercoiled umbilical cord was found macroscopically, and pathology\nconfirmed that the umbilical cord had one vein and two arteries, which included an HUA showing\nocclusive thrombosis. The placenta showed no apparent abnormalities except for a small infarction\nat the marginal zone. CMV infection was not found in the umbilical cord and placenta. The\npathogenesis of UAT was speculated to be related to the hypercoiled umbilical cord. 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A case of a pregnant woman giving birth to a healthy neonate, complicated with a hypercoiled umbilical cord and umbilical artery thrombosis(和訳中)
https://redcross.repo.nii.ac.jp/records/12136
https://redcross.repo.nii.ac.jp/records/12136f9a11bc1-7bed-4c76-8359-bc4c72f7f004
名前 / ファイル | ライセンス | アクション |
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2016高知赤十字病院医学雑誌15 (1.3 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-06-16 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | A case of a pregnant woman giving birth to a healthy neonate, complicated with a hypercoiled umbilical cord and umbilical artery thrombosis(和訳中) | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | umbilical artery thrombosis | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | single umbilical artery | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | hypoplastic umbilical artery | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | discordant umbilical arteries | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | cytomegalovirus infection | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Kenji, Yorita
× Kenji, Yorita× Yohei, Takahashi× Yu, Tanaka× Yuka, Kai× Koki, Hirano× Tetsuro, Furumoto× Takanori, Abe× Naoto, Kuroda× Keiko, Mizuno× Masahiko, Ohara× Kaori, Yasuoka× Yukari, Wada× Yoshiko, Agatsuma× Yuichiro, Sato× Akihiko, Mochizuki |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The umbilical vessels have two arteries and one vein, and thrombosis rarely occurs in the umbilical vein and arteries. Umbilical artery thrombosis (UAT) has a low incidence rate compared with umbilical venous thrombosis. Discordant umbilical arteries (DUAs), wherein the size of the arteries is different, has rarely been reported, and the smaller umbilical artery has also been described as the hypoplastic umbilical artery (HUA). UAT and HUA/DUAs can be related to poor perinatal outcomes or fetus malformation. We herein present a case of a nulliparous and primigravid 37-year-old Japanese pregnant woman, with sonographic diagnosis of single umbilical artery at 24 weeks of gestation by the loss of left-sided umbilical artery. Subsequently, serological test showed elevated serum immunoglobulin M (IgM) and IgG antibodies for cytomegalovirus (CMV). Neither morphological nor growth abnormality of the fetus was sonographically found, and no CMV DNA was detected in the vaginal discharge. Clinical follow-up was performed, and the fetus was small for gestational age during the course of the observation. At 40 and 5/7 weeks of gestation, vaginal delivery was attempted, but cesarean delivery was performed because fetal distress was suspected by cardiotocography. An appropriate-for-age female neonate without anomaly was born, and the Apgar score was 8 and 9 after 1 and 5 min, respectively. Neither elevated serum anti-CMV IgM antibodies nor presence of CMV DNA in the urine was found in the neonate. Six days after cesarean section, the mother and neonate were discharged without any problems. A thin and hypercoiled umbilical cord was found macroscopically, and pathology confirmed that the umbilical cord had one vein and two arteries, which included an HUA showing occlusive thrombosis. The placenta showed no apparent abnormalities except for a small infarction at the marginal zone. CMV infection was not found in the umbilical cord and placenta. The pathogenesis of UAT was speculated to be related to the hypercoiled umbilical cord. This is the first case of a healthy, appropriate-for-age, full-term neonate born with UAT. |
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書誌情報 |
高知赤十字病院医学雑誌 en : Medical Journal of Kochi Red Cross Hospital 巻 21, 号 1, p. 31-37, 発行日 2017-03 |
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出版者 | ||||||
出版者 | 高知赤十字病院図書室運営委員会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0919-7427 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |