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Intrauterine Death in a Fetus with Umbilical Cord Stricture: A Case Report
並列摘要
We present a case of a 25-year-old primigravida with intrauterine death of fetus secondary to umbilical cord stricture at 31 weeks of gestation. She presented with a 1- day history of disappearance of fetal movements and a subsequent diagnosis of intrauterine death was made on ultrasonography. A well-defined site of stricture and torsion was present at the fetal end of the umbilical cord, distal to which the umbilical cord was dilated and ecchymotic. Literature suggests the absence of Wharton’s jelly as a probable etiology of umbilical cord stricture. This stricture can lead to acute obstruction of the fetal-placental circulation. Umbilical cord stricture is not detected on ultrasonography, which can result in unpredictable and unpreventable intrauterine death of the fetus.