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病例报告:妊娠晚期因双环脐带导致的胎儿自然死亡

Case Report: Spontaneous Fetal Demises at Third Trimester of Pregnancy Due to a Double Lopped Nuchal Cord in .

作者信息

Son Young-Bum, Hossein Mohammad Shamim, Yu Xianfeng, Jeong Yeon Ik, Olsson P Olof, Hwang Woo Suk

机构信息

UAE Biotech Research Center, Abu Dhabi, United Arab Emirates.

Jilin Provincial Key Laboratory of Animal Model College of Animal Science, Jilin University, Changchun, China.

出版信息

Front Vet Sci. 2022 May 24;9:872383. doi: 10.3389/fvets.2022.872383. eCollection 2022.

Abstract

The umbilical cord acts as the critical lifeline of the developing fetus by providing nutrients and oxygen to it. Umbilical cord abnormalities are considered the leading cause of stillbirth in humans, but information on stillbirths associated with umbilical cord abnormalities is very scant in the clinical practice of animals. Here, we described a case of fetal demise in camels indicated to be caused by fetal death from strangulation by its umbilical cord, which is commonly known as the nuchal cord. A pregnant camel at its 36 weeks of gestation spontaneously aborted a single fetus. The camel was 5 years old and nullipara. A 6-day-old cloned embryo was transferred transcervically to the recipient. Pregnancy was confirmed 50 days after embryo transfer by ultrasonography, and the pregnant camel was maintained under a standard nutritional plan. The neck of the aborted fetus was strangulated tightly by a double loop of the umbilical cord. There was no congenital anomaly or other malformation in the fetus. We concluded that the nuchal cord was tightly coiled around the neck of the fetus and interfered with the blood flow in the fetus by collapsing the umbilical vein and subsequently causing fetal death and abortion. To the authors' knowledge, this is the first reported case of a nuchal cord in camels.

摘要

脐带通过为发育中的胎儿提供营养和氧气,充当其关键的生命线。脐带异常被认为是人类死产的主要原因,但在动物临床实践中,与脐带异常相关的死产信息非常匮乏。在此,我们描述了一例骆驼胎儿死亡病例,表明是由脐带勒颈导致胎儿死亡,即通常所说的脐带绕颈。一头怀孕36周的骆驼自发流产了单胎胎儿。这头骆驼5岁,未生育过。一个6日龄的克隆胚胎经宫颈移植到受体。胚胎移植50天后通过超声检查确认怀孕,怀孕的骆驼按照标准营养计划饲养。流产胎儿的颈部被脐带双环紧紧勒住。胎儿没有先天性异常或其他畸形。我们得出结论,脐带紧紧缠绕在胎儿颈部,通过压迫脐静脉干扰胎儿血流,随后导致胎儿死亡和流产。据作者所知,这是首次报道的骆驼脐带绕颈病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a41e/9171031/d8eba8dd932a/fvets-09-872383-g0001.jpg

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