Difference between revisions of "Fetal autopsy"

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*Massive skin separation and loosing of symphysis menti (midline mandible), symphysis pubis ~72+ hours.
*Massive skin separation and loosing of symphysis menti (midline mandible), symphysis pubis ~72+ hours.


===Common measures<ref name=Ref_HospAuto196>{{Ref HospAuto|196}}</ref>===
===Common measures<ref name=Ref_HospAuto196>{{Ref HospAuto|196, 198}}</ref>===
*Body mass (weight).
*Body mass (weight).
*Crown-to-heel length.
*Crown-to-heel length.
*Crown-to-rump length.
*Crown-to-rump length.
*Occipito-frontal circumference.
*Occipito-frontal circumference.
*Chest circumference.
*Chest circumference - at nipples.
*Abdominal circumference.
*Abdominal circumference - at umbilicus.


==Routinue sections==
==Routinue sections==

Revision as of 16:23, 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

Sequences of changes with intrauterine death:[1]

  • Normal ~0-12 hours.
  • Skin blistering - usu. prominent on head ~12-48 hours.
  • Moderate skin separation (sloughing) - usu. hands & feet ~48-72 hours
  • Massive skin separation and loosing of symphysis menti (midline mandible), symphysis pubis ~72+ hours.

Common measures[2]

  • Body mass (weight).
  • Crown-to-heel length.
  • Crown-to-rump length.
  • Occipito-frontal circumference.
  • Chest circumference - at nipples.
  • Abdominal circumference - at umbilicus.

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.
  2. Burton, Julian L.; Rutty, Guy N. (2010). The Hospital Autopsy A Manual of Fundamental Autopsy Practice (3rd ed.). Oxford University Press. pp. 196, 198. ISBN 978-0340965146.