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P. Donnelly, M. Rosenberg, C. Kay, S. Katz (1980)
Sonographic demonstration of occult umbilical cord prolapse.AJR. American journal of roentgenology, 134 5
E. Savage, S. Kohl, R. Wynn (1970)
Prolapse of the Umbilical CordObstetrics & Gynecology, 36
Donnelly Donnelly, Rosenberg Rosenberg, Kay Kay (1980)
Sonographic demonstration of occult umbilical cord prolapseAm J Roentgen01, 134
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 of Clinical Ultrasound – Wiley
Published: Jun 1, 1984
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