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Is unexplained third trimester intrauterine death of fetuses with gastroschisis caused by umbilical cord compression due to acute extra-abdominal bowel dilatation?

Record type: Article

We report on a case of gastroschisis in which sudden dilatation of extra-abdominal bowel at 34+1 weeks was followed by an unusual umbilical flow velocity waveform (diastolic notching). The condition was associated with normal umbilical Doppler indices, brain sparing effect and a non-reactive cardiotocograph (CTG). Findings at postnatal surgery strongly suggested severe cord compression by the herniated dilated bowel. The significance of notching in the umbilical artery waveform is discussed, as is the potential importance of this sign in the prepartum management of fetuses with gastroschisis.

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Citation

Kalache, Karim D., Bierlich, Anke, Hammer, Hannes and Bollmann, Rainer (2002) Is unexplained third trimester intrauterine death of fetuses with gastroschisis caused by umbilical cord compression due to acute extra-abdominal bowel dilatation? Prenatal Diagnosis, 22, (8), pp. 715-717. (doi:10.1002/pd.386).

More information

Published date: 2002
Additional Information: Short Communication
Keywords: gastroschisis, prenatal diagnosis, Doppler ultrasonography

Identifiers

Local EPrints ID: 25695
URI: http://eprints.soton.ac.uk/id/eprint/25695
ISSN: 0197-3851
PURE UUID: 4b0b5c84-2330-4ee0-8f50-89eee67e1191

Catalogue record

Date deposited: 19 Apr 2006
Last modified: 17 Jul 2017 16:09

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Contributors

Author: Karim D. Kalache
Author: Anke Bierlich
Author: Hannes Hammer
Author: Rainer Bollmann

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