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Prenatal diagnosis of funisitis: two case reports
Daisuke Katsura1, Yuichiro Takahashi2, Shigenori Iwagaki2
1Department of Fetal-Maternal Medicine, Nagara Medical Center, 1300-7 Nagara, Gifu, 502-8558, Japan. katsuo14@belle.shiga-med.ac.jp.
Journal of Medical Ultrasonics (2001)
|February 4, 2018
Summary
This study reports the first prenatal diagnosis of acute funisitis using ultrasonography. Characteristic ultrasound findings can help identify this fetal inflammation, aiding in early diagnosis and management.
Area of Science:
- Perinatology
- Fetal Medicine
- Diagnostic Imaging
Background:
- Acute funisitis, a fetal inflammatory condition, involves neutrophil infiltration into Wharton's jelly.
- Prenatal diagnosis of acute funisitis via ultrasonography has not been previously documented.
Observation:
- Two cases presented with oligohydramnios and threatened premature delivery at 26-27 weeks gestation.
- Ultrasonography revealed non-uniform Wharton's jelly thickening, heterogeneous internal echoes, and hyper-echoid umbilical vessel walls.
Findings:
- Prenatal diagnosis of acute funisitis was made based on characteristic ultrasonographic findings.
- Postpartum histopathology confirmed severe funisitis in both cases.
Implications:
- This marks the first reported instance of prenatal ultrasonographic diagnosis of funisitis.
- Ultrasonographic findings suggestive of intrauterine infection warrant consideration of severe funisitis in the differential diagnosis.
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