IMR Press / CEOG / Volume 44 / Issue 5 / DOI: 10.12891/ceog3727.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Abnormal bending of the umbilical cord due to adhesion of the cord to the placenta
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1 Department of Obstetrics and Gynecology, Ladies Clinic Ishiguro, Ara-machi, Sanjo-city, Niigata, Japan
2 Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Asahimachi-dori, Chuo-ku, Niigata, Japan
Clin. Exp. Obstet. Gynecol. 2017, 44(5), 787–788; https://doi.org/10.12891/ceog3727.2017
Published: 10 October 2017
Abstract

Background: Although cord abnormalities can cause fetal distress, there are many cases of fetal distress caused by unknown factors. Case: The mother was a 27-year-old Japanese woman. The umbilical cord was attached to nearly the center of the placenta, which was smoothly delivered. Macroscopically, at the site of cord attachment to the placenta, the cord appeared partially flattened and adhered to the placenta, resulting in abnormal bending of the cord. Pathological examination of the cord and placenta, including the site of adhesion, did not show any remarkable findings. Therefore, the adhesion might have caused temporary bending of the cord, which resulted in fetal distress. Conclusion: The authors encountered a rare case of abnormal adhesion of the umbilical cord to the placenta that caused fetal distress. The presence of abnormalities of the placenta and umbilical cord should be macroscopically examined immediately after delivery, even when only mild fetal distress is noted.
Keywords
Umbilical cord bending
Fetal distress
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