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Clinical and Experimental Obstetrics & Gynecology  2016, Vol. 43 Issue (1): 161-164    DOI: 10.12891/ceog1708.2016
Case Report Previous articles |
Severe antenatal strangulation and sudden fetal death occurs in term: case report
D.B. Mian1, *(), J. Konan1, K.C. Kouakou2, V. Angoi1, E. Gbary1, C. Itoua3
1Department of Gynecology and Obstetrics of Cocody, Abidjan
2Department of Pediatry of Cocody, Abidjan (Republic of Cote d’Ivoire)
3Department of Gynecology and Obstetrics of Brazzaville, Brazzaville (Congo)
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Abstract  
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.
Key words:  Antenatal fetal death      Multiple loops      Nuchal cord      Strangulation     
Published:  10 February 2016     
*Corresponding Author(s):  D.B. MIAN     E-mail:  bostondehimian@yahoo.fr

Cite this article: 

D.B. Mian, J. Konan, K.C. Kouakou, V. Angoi, E. Gbary, C. Itoua. Severe antenatal strangulation and sudden fetal death occurs in term: case report. Clinical and Experimental Obstetrics & Gynecology, 2016, 43(1): 161-164.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog1708.2016     OR     https://ceog.imrpress.com/EN/Y2016/V43/I1/161

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