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Journal of Nippon Medical School

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-Case Reports-

Fore-lying of the Umbilical Cord after Urination: A Case Report

Atsushi Miura, Toshiyuki Tamura and Shunji Suzuki

Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, Tokyo


We present here a case of fore-lying of the umbilical cord. In this case, transvaginal sonography did not reveal the umbilical cord beyond the fetal head before maternal urination; however, 5 minute later, a fore-lying umbilical cord was revealed between the floating fetal head and the uterine cervix after urination. The present case indicates the importance of careful evaluation of preterm premature rupture of the membranes by means of transvaginal ultrasonography in predicting umbilical cord prolapse.

J Nippon Med Sch 2012; 79: 284-285

Keywords
fore-lying of the umbilical cord, umbilical cord prolapse, preterm premature rupture of the membranes, transvaginal ultrasonography

Correspondence to
Shunji Suzuki, MD, Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital, 5-11-12 Tateishi, Katsushika-ku, Tokyo 124-0012, Japan
czg83542@mopera.ne.jp

Received, October 12, 2011
Accepted, November 9, 2011