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Case Reports
. 2003 Sep;48(9):739-40.

Single umbilical artery and umbilical cord torsion leading to fetal death. A case report

Amnon Hadar  1 , Mordechai Hallak
Affiliations
  • PMID: 14562642
Case Reports

Single umbilical artery and umbilical cord torsion leading to fetal death. A case report

Amnon Hadar et al. J Reprod Med. 2003 Sep.

Abstract

Background: Intrauterine fetal death is a complication that cannot often be predicted by standard obstetric management. Cord accident may be responsible for about 5% of cases. Umbilical cord torsion is an extremely rare cause of intrauterine fetal death.

Case: An 18-year-old, nulliparous woman presented with a complaint of decreased fetal movement at 38 weeks' gestation. Intrauterine fetal death was diagnosed on ultrasound. The pathologic examination revealed umbilical cord torsion and confirmed a single umbilical artery that was diagnosed on ultrasound.

Conclusion: Umbilical cord torsion that leads to intrauterine fetal death is extremely rare. A pregnancy with a single umbilical artery may need fetal monitoring during the third trimester.

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