Difference between revisions of "Fetal autopsy"

From Libre Pathology
Jump to navigation Jump to search
(more, wikify a bit, +image)
Line 1: Line 1:
The '''fetal autopsy''' is done to determine the cause of death in a fetus.
The '''fetal [[autopsy]]''' is done to determine the cause of death in a fetus.  An introduction to the autopsy is in the ''[[autopsy]]'' article.
 
==External exam==
Post-mortem changes with intrauterine death (sequence):<ref>{{Ref HospAuto|191}}</ref>
*Normal ~0-12 h.
*Skin blistering - usu. prominent on head ~12-48 hours.
*Moderate skin separation (sloughing) - usu. hands & feet.
*Massive skin separation and loosing of symphysis menti (midline mandible), symphysis pubis.


==Routinue sections==
==Routinue sections==
Line 18: Line 25:
# [[Pituitary]].
# [[Pituitary]].


==Adrenal gland==
==Histology==
===Adrenal gland===
*Centre regresses.
*Centre regresses.


==Kidney==
===Kidney===
*Cortex regresses.
*Cortex regresses.


==Lung==
===Lung===
*PMNs may be seen in [[chorioamnionitis]].
*PMNs may be seen in [[chorioamnionitis]].


==Thymus==
===Thymus===
*Hassal's corpusles.
*Hassall's corpuscles (thymic corpuscle).
 
Image: [http://commons.wikimedia.org/wiki/File:Thymic_corpuscle.jpg Thymic corpuscle (WC)].


==See also==
==See also==
Line 36: Line 46:


==References==
==References==
{{reflist|2}}
{{reflist|1}}


[[Category:Autopsy]]
[[Category:Autopsy]]

Revision as of 16:00, 23 October 2010

The fetal autopsy is done to determine the cause of death in a fetus. An introduction to the autopsy is in the autopsy article.

External exam

Post-mortem changes with intrauterine death (sequence):[1]

  • Normal ~0-12 h.
  • Skin blistering - usu. prominent on head ~12-48 hours.
  • Moderate skin separation (sloughing) - usu. hands & feet.
  • Massive skin separation and loosing of symphysis menti (midline mandible), symphysis pubis.

Routinue sections

  1. Rib.
  2. Thymus, skin, diaphragm, psoas muscle.
  3. Rectum, duodenum, ileocecal region, mesentery.
  4. Adrenal gland.
  5. Kidney.
  6. Bladder.
  7. Internal genitalia.
  8. Spleen.
  9. Stomach, GE junction, GD junction, pancreas.
  10. Liver.
  11. Right lung.
  12. Left lung.
  13. Heart.
  14. Upper airway with thyroid.
  15. Pituitary.

Histology

Adrenal gland

  • Centre regresses.

Kidney

  • Cortex regresses.

Lung

Thymus

  • Hassall's corpuscles (thymic corpuscle).

Image: Thymic corpuscle (WC).

See also

References

  1. Burton, Julian L.; Rutty, Guy N. (2010). The Hospital Autopsy A Manual of Fundamental Autopsy Practice (3rd ed.). Oxford University Press. pp. 191. ISBN 978-0340965146.