Is a Red Umbilical Cord a Sign of Umbilical Venous Congestion?: A Case Report

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  • Miyake Hidehiko
    Division of Reproductive Medicine, Perinatology and Gynecologic Oncology, Graduate School of Medicine, Nippon Medical School Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital
  • Igarashi Miwa
    Division of Reproductive Medicine, Perinatology and Gynecologic Oncology, Graduate School of Medicine, Nippon Medical School Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital
  • Inde Yusuke
    Division of Reproductive Medicine, Perinatology and Gynecologic Oncology, Graduate School of Medicine, Nippon Medical School
  • Nakai Akihito
    Division of Reproductive Medicine, Perinatology and Gynecologic Oncology, Graduate School of Medicine, Nippon Medical School
  • Suzuki Shunji
    Department of Obstetrics and Gynecology, Japanese Red Cross Katsushika Maternity Hospital
  • Takeshita Toshiyuki
    Division of Reproductive Medicine, Perinatology and Gynecologic Oncology, Graduate School of Medicine, Nippon Medical School

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Postnatal examination of fetal appendages is important because this information may help predict perinatal outcome. We present a case of a red streak along the entire umbilical vein after a cesarean section due to non-reassuring fetal status. The pathological findings revealed an umbilical cord with dilated vascular changes and mild funisitis. Because the dilated change was intense in the umbilical vein, the red streak of the umbilical cord was caused by venous congestion. Moreover, we considered that the umbilical venous congestion was due to increased resistance in the fetal intra-abdominal umbilical vein, which was associated with the non-reassuring fetal status.<br>

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