Yamaji Daisuke, Gonda Takuro, Mukuda Naoko, Murakami Atsushi, Yunaga Hiroto, Fujii Shinya
Division of Radiology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Department of Radiology, Japanese Red Cross Tottori Hospital, Tottori, Japan.
Radiol Case Rep. 2024 Nov 22;20(2):916-919. doi: 10.1016/j.radcr.2024.10.110. eCollection 2025 Feb.
A 34-year-old woman (gravida 2, para 0) with suspected fetal small-bowel atresia on ultrasound underwent magnetic resonance imaging (MRI) at 33 weeks 3 days of gestation. In addition to small bowel atresia, a teardrop-shaped hematoma was observed adjacent to the umbilical cord associated with an umbilical cord ulcer (UCU). The fetus was delivered by induced labor on diagnosis of intrauterine fetal death. UCUs were macroscopically observed on the surface of the umbilical cord. Ultrasonography is helpful in the diagnosis of UCU. Moreover, the MRI findings on UCUs adjacent to the umbilical cord in the case of congenital small bowel atresia should be observed carefully, especially after 30 weeks of gestation. MRI findings may lead to the detection of UCU and improve fetal outcome. Therefore, we should be aware of its findings.
一名34岁女性（孕2产0），超声检查怀疑胎儿小肠闭锁，于妊娠33周3天接受了磁共振成像（MRI）检查。除小肠闭锁外，在脐带旁观察到一个泪滴状血肿，伴有脐带溃疡（UCU）。诊断为宫内胎儿死亡后，该胎儿通过引产分娩。在脐带表面肉眼可见UCU。超声检查有助于UCU的诊断。此外，对于先天性小肠闭锁病例，妊娠30周后应仔细观察脐带旁UCU的MRI表现。MRI表现可能有助于UCU的检测并改善胎儿结局。因此，我们应了解其表现。
