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Minerva Obstetrics and Gynecology 2021 August;73(4):506-8

DOI: 10.23736/S2724-606X.21.04817-X

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

Unusual umbilical Doppler waveform and fetal distress likely due to hypercoiled cord

Ginevra SALSI 1, Marta FIORENTINI 1 , Giacomo CAPRARA 2, Gianluigi PILU 1

1 Obstetric Unit, Department of Medical and Surgical Sciences, S. Orsola-Malpighi University Hospital, University of Bologna, Bologna, Italy; 2 Histopathological and Molecular Diagnostic Unit of Solid Organ and Transplantation, S. Orsola-Malpighi University Hospital, University of Bologna, Bologna, Italy



Both reduced and increased umbilical cord coiling patterns have been associated with fetal distress and adverse perinatal outcomes, including fetal death. Prenatal diagnosis of cord coiling anomalies is challenging but potentially very useful for identifying those that may benefit from a more intensive monitoring. Nevertheless, there is no standardized approach for this potentially lethal complication when suspected. We report a case of fetal Doppler alterations and cardiotocographic anomalies likely due to hypercoiled cord in a 29-week primigravida referred to our clinic, who therefore underwent an emergency cesarean section. This case could help clinicians to consider cord anomalies as a possible cause of fetal distress.


KEY WORDS: Umbilical cord; Doppler ultrasonography; Fetal distress; Cesarean section

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