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Article
June 17, 1911

REPORT OF A CASE OF TRAUMATIC RUPTURE OF THE UMBILICAL CORD WITHIN THE ABDOMINAL WALL AT BIRTH; RECOVERY

JAMA. 1911;LVI(24):1792-1793. doi:10.1001/jama.1911.02560240022006

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Abstract

This case is reported with the hope that it will prove of interest on account of its rarity revealed by a search through the literature. The fact, also, that there was an uneventful, uncomplicated recovery, though death from hemorrhage or shock might be expected, is worthy of notice.

Labor was normal; presentation right occipito-anterior. As the head was born it was noticed that the cord was tightly wound about the child's neck. Employing the usual amount of force, an attempt was made to loosen the cord, but it did not yield and ruptured. The body was quickly delivered and an examination revealed a rupture of the umbilical cord within the abdominal wall. The edges of the cord were so retracted into the abdomen that they could not be grasped with forceps. Hemorrhage was not very profuse. The child continued crying.

Under the circumstances, the procedure that seemed most logical and

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