{"created":"2023-06-20T15:55:34.928811+00:00","id":12136,"links":{},"metadata":{"_buckets":{"deposit":"0a8d73fd-c0fe-4def-8497-388005005487"},"_deposit":{"created_by":41,"id":"12136","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"12136"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00012136","sets":["340:341:413"]},"author_link":["44068","44056","44062","44063","44069","44057","44060","44061","44066","44067","44055","44058","44065","44059","44064"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"37","bibliographicPageStart":"31","bibliographicVolumeNumber":"21","bibliographic_titles":[{"bibliographic_title":"高知赤十字病院医学雑誌"},{"bibliographic_title":"Medical　Journal of Kochi Red Cross Hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"The umbilical vessels have two arteries and one vein, and thrombosis rarely occurs\nin the umbilical vein and arteries. 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. This is the\nfirst case of a healthy, appropriate-for-age, full-term neonate born with UAT.","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"高知赤十字病院図書室運営委員会"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-7427","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Kenji, Yorita"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yohei, Takahashi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yu, Tanaka"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yuka, Kai"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Koki, Hirano"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tetsuro, Furumoto"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takanori, Abe"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Naoto, Kuroda"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Keiko, Mizuno"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Masahiko, Ohara"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kaori, Yasuoka"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yukari, Wada"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yoshiko, Agatsuma"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yuichiro, Sato"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Akihiko, Mochizuki"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-06-16"}],"displaytype":"simple","filename":"2016高知赤十字病院医学雑誌-15.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"2016高知赤十字病院医学雑誌15","url":"https://redcross.repo.nii.ac.jp/record/12136/files/2016高知赤十字病院医学雑誌-15.pdf"},"version_id":"328169ba-52fa-49db-8430-a09d3d44e919"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"umbilical artery thrombosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"single umbilical artery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hypoplastic umbilical artery","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"discordant umbilical arteries","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cytomegalovirus infection","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"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)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"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)","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"41","path":["413"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-06-16"},"publish_date":"2017-06-16","publish_status":"0","recid":"12136","relation_version_is_last":true,"title":["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)"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T19:06:50.522023+00:00"}