Kamil Aneela G, El Mekresh Mohsen
OBGYN Specialist, Department of Urology, Mafraq Hospital, Abu Dhabi, United Arab Emirates.
Urol Ann. 2013 Apr;5(2):124-5. doi: 10.4103/0974-7796.110014.
Umbilical cord prolapse occurs when a loop of cord is present below the presenting part when the amniotic membranes are ruptured. The incidence is 0.2% of total births. The case presented here is unusual because the definition of cord prolapse cannot be applied to it and the lady did not complain of any history of urinary incontinence or hematuria. The presentation of umbilical cord through maternal urethra led to the speculation of an opening between the anterior uterine wall and the bladder. Fetal demise was diagnosed by abdominal ultrasound. At laprotomy, a communication was found between the bladder and the uterus thus letting the cord traverse through the bladder.
脐带脱垂是指胎膜破裂时，脐带的一段位于先露部下方。其发生率占总分娩数的0.2%。此处呈现的病例不寻常，因为脐带脱垂的定义并不适用于此，且该女士没有任何尿失禁或血尿的病史。脐带通过母体尿道出现引发了关于子宫前壁与膀胱之间存在开口的推测。通过腹部超声诊断为胎儿死亡。在剖腹探查时，发现膀胱与子宫之间存在连通，从而使脐带穿过膀胱。
