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Spinal Cord Injury ll: Pathophysiology01:14

Spinal Cord Injury ll: Pathophysiology

Spinal cord injury progresses through two interconnected phases: primary injury and secondary injury.Primary InjuryPrimary injury happens at the moment of trauma and involves immediate mechanical damage to the spinal cord.Compression happens when broken vertebrae, herniated discs, or accumulating blood (such as a hematoma) press directly against the spinal cord, distorting its normal shape and function. In cases of contusion, the cord is bruised by a blunt force (like penetrating injuries or...
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Related Experiment Video

Updated: Jun 26, 2026

Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
05:46

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Intrapartum umbilical cord rupture.

Christopher Walker1, Jill Ward

  • 1From the Florida State University College of Medicine, and Florida Hospital, Pensacola, Florida.

Obstetrics and Gynecology
|January 22, 2009
PubMed
Summary

Rupture of the umbilical cord in utero is a rare obstetric emergency. This case highlights the importance of continuous fetal monitoring for identifying fetal distress and ensuring prompt intervention.

Area of Science:

  • Obstetrics and Gynecology
  • Fetal Monitoring
  • Neonatal Survival

Background:

  • Umbilical cord abnormalities pose a diagnostic challenge in obstetrics.
  • Continuous fetal monitoring is crucial for detecting fetal distress during labor.

Observation:

  • A case of complete umbilical cord rupture in utero during labor.
  • The umbilical cord measured 17 cm, was centrally attached, pale, and exhibited no bleeding due to vasospasm.
  • The newborn, initially pale, had a hemoglobin of 17.4 g and survived.

Findings:

  • Complete intrauterine umbilical cord rupture is exceedingly rare.
  • This event necessitates emergent cesarean delivery for fetal salvage.

Implications:

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  • Highlights the critical role of fetal surveillance in high-risk pregnancies.
  • Emphasizes the need for increased awareness and documentation of rare umbilical cord accidents.
  • Underscores the potential for fetal survival despite catastrophic cord events with timely intervention.