An extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twin
The latency in preterm premature rupture of membranes (PPROM) can last for weeks. We describe an extremely rare case of hand prolapse with PPROM that was exposed for 23 days before delivery. The patient had spontaneous PPROM of twin A at 21.4 weeks of gestation with shoulder presentation. The right...
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| Format: | Article |
| Language: | English |
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Korean Society of Obstetrics and Gynecology
2018-05-01
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| Series: | Obstetrics & Gynecology Science |
| Subjects: | |
| Online Access: | http://ogscience.org/upload/pdf/ogs-61-413.pdf |
| _version_ | 1819232278612541440 |
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| author | Minji Kim Hye-Joo Lee Suk-Joo Choi Soo-young Oh Cheong-Rae Roh Jong-Hwa Kim |
| author_facet | Minji Kim Hye-Joo Lee Suk-Joo Choi Soo-young Oh Cheong-Rae Roh Jong-Hwa Kim |
| author_sort | Minji Kim |
| collection | DOAJ |
| description | The latency in preterm premature rupture of membranes (PPROM) can last for weeks. We describe an extremely rare case of hand prolapse with PPROM that was exposed for 23 days before delivery. The patient had spontaneous PPROM of twin A at 21.4 weeks of gestation with shoulder presentation. The right arm of the fetus eventually protruded out the vagina and the hand was exposed for extended period of time of 23 days until delivery. Daily dressing by applying collagen to dry skin and silicone to keep moisture was done to the protruding hand to prevent dehydration and desquamation of the skin. Prophylactic antibiotics were used and the patient underwent emergent cesarean section due to uncontrolled preterm labor at 25.2 weeks. To the best of our knowledge, this is the first case of hand prolapse of one twin with extended period of latency before delivery. |
| first_indexed | 2024-12-23T11:58:19Z |
| format | Article |
| id | doaj.art-ddb1694208674290862d7ac6a421f5b2 |
| institution | Directory Open Access Journal |
| issn | 2287-8572 2287-8580 |
| language | English |
| last_indexed | 2024-12-23T11:58:19Z |
| publishDate | 2018-05-01 |
| publisher | Korean Society of Obstetrics and Gynecology |
| record_format | Article |
| series | Obstetrics & Gynecology Science |
| spelling | doaj.art-ddb1694208674290862d7ac6a421f5b22022-12-21T17:48:01ZengKorean Society of Obstetrics and GynecologyObstetrics & Gynecology Science2287-85722287-85802018-05-0161341341610.5468/ogs.2018.61.3.413500An extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twinMinji Kim0Hye-Joo Lee1Suk-Joo Choi2Soo-young Oh3Cheong-Rae Roh4Jong-Hwa Kim5Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaDepartment of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, .KoreaThe latency in preterm premature rupture of membranes (PPROM) can last for weeks. We describe an extremely rare case of hand prolapse with PPROM that was exposed for 23 days before delivery. The patient had spontaneous PPROM of twin A at 21.4 weeks of gestation with shoulder presentation. The right arm of the fetus eventually protruded out the vagina and the hand was exposed for extended period of time of 23 days until delivery. Daily dressing by applying collagen to dry skin and silicone to keep moisture was done to the protruding hand to prevent dehydration and desquamation of the skin. Prophylactic antibiotics were used and the patient underwent emergent cesarean section due to uncontrolled preterm labor at 25.2 weeks. To the best of our knowledge, this is the first case of hand prolapse of one twin with extended period of latency before delivery.http://ogscience.org/upload/pdf/ogs-61-413.pdfpreterm premature rupture of fetal membranestwin pregnancyfetal malpresentation |
| spellingShingle | Minji Kim Hye-Joo Lee Suk-Joo Choi Soo-young Oh Cheong-Rae Roh Jong-Hwa Kim An extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twin Obstetrics & Gynecology Science preterm premature rupture of fetal membranes twin pregnancy fetal malpresentation |
| title | An extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twin |
| title_full | An extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twin |
| title_fullStr | An extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twin |
| title_full_unstemmed | An extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twin |
| title_short | An extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twin |
| title_sort | extremely rare case of hand prolapse with preterm premature rupture in the membrane of one twin |
| topic | preterm premature rupture of fetal membranes twin pregnancy fetal malpresentation |
| url | http://ogscience.org/upload/pdf/ogs-61-413.pdf |
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