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Sonography of occult cord prolapse

Sonography of occult cord prolapse Earle D. Hales, MD, and Lennox S. Westney, MD Antenatal detection of occult cord prolapse in a viable fetus has never to our knowledge been reported in the ultrasound literature, and has previously been described only once in the radiologic literature.' This condition constitutes a rare, but grave obstetrical emergency attended by significant mortality when undetected. We present a case in which sonographic detection of occult cord prolapse at 37 weeks led to timely, life-saving, surgical intervention. The most serious potential hazard with cord prolapse or presentation is cord compression leading to compromise of fetal circulation and decrease in oxygenation. Fetal demise is probable if corrective measures are not instituted immediately. CASE REPORT The patient, a 28-year-old female, gravida 5, para 2, ab 2, presented to the emergency room with a complaint of lower abdominal pain occurring every 30 minutes approximately 2 hours prior to admission. She denied ruptured membranes but admitted to nausea and vomiting several times prior to admission. Her vital signs were within normal limits, and physical evaluation revealed a uterine fundal height of 35 cm with no palpable contractions. The admitting impression was intrauterine pregnancy near term in possible early labor. The past obstetrical http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Sonography of occult cord prolapse

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References (3)

Publisher
Wiley
Copyright
Copyright © 1984 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870120510
Publisher site
See Article on Publisher Site

Abstract

Earle D. Hales, MD, and Lennox S. Westney, MD Antenatal detection of occult cord prolapse in a viable fetus has never to our knowledge been reported in the ultrasound literature, and has previously been described only once in the radiologic literature.' This condition constitutes a rare, but grave obstetrical emergency attended by significant mortality when undetected. We present a case in which sonographic detection of occult cord prolapse at 37 weeks led to timely, life-saving, surgical intervention. The most serious potential hazard with cord prolapse or presentation is cord compression leading to compromise of fetal circulation and decrease in oxygenation. Fetal demise is probable if corrective measures are not instituted immediately. CASE REPORT The patient, a 28-year-old female, gravida 5, para 2, ab 2, presented to the emergency room with a complaint of lower abdominal pain occurring every 30 minutes approximately 2 hours prior to admission. She denied ruptured membranes but admitted to nausea and vomiting several times prior to admission. Her vital signs were within normal limits, and physical evaluation revealed a uterine fundal height of 35 cm with no palpable contractions. The admitting impression was intrauterine pregnancy near term in possible early labor. The past obstetrical

Journal

Journal of Clinical UltrasoundWiley

Published: Jun 1, 1984

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