1/17. Circumferential abdominal skin defect possibly due to umbilical cord encirclement.We report on a newborn black male twin with a distinctive circumferential abdominal skin defect who was identified through the Active Malformation Surveillance Program at the Brigham and women's Hospital. There were no other malformations, and amniotic disruption was not present. Although it cannot be proven, we believe that this skin defect may have been caused by in utero encirclement of the abdomen by an umbilical cord.- - - - - - - - - - ranking = 1keywords = umbilical cord, umbilical (Clic here for more details about this article) |
2/17. A large pseudolesion in the left lobe of the liver caused by inferior vena caval obstruction secondary to metastatic retroperitoneal lymphadenopathy.A rare case with a large pseudolesion in the left lobe of the liver observed on early phase of incremental dynamic computed tomography (CT) caused by inferior vena caval obstruction is presented. Decreased portal perfusion due to increased volume of systemic venous inflow into the left lobe via paraumbilical venous system may be its underlying hemodynamic change. The etiology of this pseudolesion was successfully confirmed by conventional CT with intravenous contrast medium injection via superficial vein of lower extremity.- - - - - - - - - - ranking = 0.014612312178432keywords = umbilical (Clic here for more details about this article) |
3/17. Strangulated umbilical hernia in a child: report of a case.Most umbilical hernias in children close spontaneously. Complications associated with umbilical hernias are rarely observed during follow-up. We report herein a 5-month-old girl with a strangulated umbilical hernia. Her umbilicus was hard, reddish, and irreducible. Plain radiography of the abdomen showed signs of mechanical ileus. The patient was thus diagnosed to have a strangulated umbilical hernia. A 5-cm section of the ascending colon and a 5-cm section of the terminal ileum, as well as the cecum and appendix, were congested, edematous, and erythematous, and together were enclosed by a firm hernial ring. A closure of the fascial defect and umbilicoplasty were performed. The postoperative course was uneventful. In patients with infantile umbilical hernias, strangulation may occur as the fascial defect decreases in size.- - - - - - - - - - ranking = 0.13151080960589keywords = umbilical (Clic here for more details about this article) |
4/17. Is unexplained third trimester intrauterine death of fetuses with gastroschisis caused by umbilical cord compression due to acute extra-abdominal bowel dilatation?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.- - - - - - - - - - ranking = 0.8438369365353keywords = umbilical cord, umbilical (Clic here for more details about this article) |
5/17. Pelviureteric junction obstruction as sequelae of Kawasaki disease.We present a 7-year-old boy who was admitted with a history of cough for a week, neck pain with associated swelling for 4 days, fever, and vague periumbilical pain. He was diagnosed with Kawasaki disease, and subsequently developed vasculitis of the ureter and stricture of the ureteric lumen at the level of the pelviureteric junction.- - - - - - - - - - ranking = 0.014612312178432keywords = umbilical (Clic here for more details about this article) |
6/17. umbilical cord stricture: a cause of recurrent fetal death.BACKGROUND: umbilical cord stricture is a recognized cause of fetal demise, but the exact etiology remains unknown. The risk of recurrence has generally been thought to be low. CASE: Three of 4 fetuses of a single patient died between 28 and 30 weeks of gestation; all were found to have stricture of the umbilical cord at the fetal insertion. Her one surviving infant was delivered emergently at 25 weeks. All infants were growth restricted but had no anatomic abnormalities. CONCLUSION: umbilical cord stricture was diagnosed as the cause of all 3 fetal deaths. patients with a demise attributed to umbilical cord stricture should be counseled that the risk of recurrent cord stricture is undetermined.- - - - - - - - - - ranking = 0.4keywords = umbilical cord, umbilical (Clic here for more details about this article) |
7/17. celiac artery aneurysm associated with atherosclerotic common hepatic artery stenosis.celiac artery aneurysms are rare vascular lesions and represent 4% of all splanchnic aneurysms. Media degeneration and atherosclerosis are the most common underlying etiologic factors. The risk of rupture and the associated mortality rate are 13% and 40% respectively. In contrast, elective repair carries a low mortality rate of 5%. Most of celiac artery aneurysms are asymptomatic and in the past nearly 80% of the cases were diagnosed when ruptured. Recently, there is an increased recognition of all splanchnic aneurysm types, probably because of better diagnostic techniques. We report a case of celiac artery aneurysm with severe atherosclerotic stenosis of the common hepatic artery. We performed, through a midline supraumbilical laparotomy, extended partial aneurysmectomy and common hepatic artery ostium endarterectomy. For the closure we used Dacron patch. The uncomplicated postoperative patient's course, with no evidence of liver dysfunction and excellent patency of the common hepatic artery, suggests that this technique offered good results and minimized the perioperative risk.- - - - - - - - - - ranking = 0.014612312178432keywords = umbilical (Clic here for more details about this article) |
8/17. fetal heart rate accelerations in second-stage labour; two case reports.Two cases of umbilical cord compression are reported in which variable decelerations in the fetal heart rate in the first stage of labour progressed to marked periodic accelerations in the second stage. A respiratory acidosis was present at birth in both cases.- - - - - - - - - - ranking = 0.2keywords = umbilical cord, umbilical (Clic here for more details about this article) |
9/17. umbilical cord stricture associated with intrauterine fetal demise. A report of two cases.Two cases occurred of umbilical cord stricture with intrauterine fetal demise. The cause of this defect is unknown. Our cases represented the common findings of stricture at the squamoamnionic junction and an increased incidence with twin gestations. One fetus had a reactive nonstress test at 30 1/2 weeks and died two days later.- - - - - - - - - - ranking = 0.2keywords = umbilical cord, umbilical (Clic here for more details about this article) |
10/17. fetal death secondary to constriction and torsion of the umbilical cord.constriction and torsion of the umbilical cord is a cause of fetal death that is seldom noted. A stillborn fetus with these changes is described. The literature is reviewed. A localized absence of Wharton's jelly in the involved area of the cord is believed to be the etiologic factor in the constriction and subsequent torsion.- - - - - - - - - - ranking = 1keywords = umbilical cord, umbilical (Clic here for more details about this article) |
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