Mian D B, Konan J, Kouakou K C, Angoi V, Gbary E, Itoua C
Clin Exp Obstet Gynecol. 2016;43(1):161-4.
The authors report a case of a sudden antenatal death, by severe strangulation, unlikely related in a term pregnancy; multiple loops of nuchal umbilical cord (UC) (ten), rarely describe in literature, were observed around the fetal neck. The in utero fetal death (IFD) was suspected by the non-attendance of fetal movements and confirmed by US scan. The tight nuchal cord around the neck (tCAN) diagnostic was made during caesarean delivery, as it was not discovered in pregnancy US scan monitoring nor in the US scan made in emergency. The newborn examination shows severe fetal strangulation by the presence of many spires of a too long UC (1.50 m). Autopsy was not been accepted by the family. Through this reported case the authors wanted to show the difficulties of its diagnosis in less developed Sub-Saharan country were US scan practice is not usual.
作者报告了一例足月妊娠时因严重勒颈导致的产前猝死病例；在胎儿颈部观察到多条（十条）脐带绕颈，这在文献中很少被描述。因未感觉到胎动怀疑发生了宫内胎儿死亡（IFD），超声扫描证实了这一情况。剖宫产时诊断出颈部脐带过紧（tCAN），因为在孕期超声扫描监测以及急诊超声扫描中均未发现。新生儿检查显示，由于过长的脐带（1.50米）有许多螺旋，胎儿存在严重勒颈情况。家属未同意进行尸检。通过这个报告病例，作者想展示在撒哈拉以南欠发达国家诊断该病的困难，因为那里超声扫描的应用并不普遍。
