Umbilical hemangioma: a case report

Sathiyathasan, Sahathevan; Jeyanthan, K.; Hamid, Raashid

doi:10.1007/s00404-010-1606-y

Cited by 18 publications

(17 citation statements)

References 7 publications

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“…With any evidence of acute compromise, hospitalization with more intensive daily monitoring should be considered with administration of steroids to promote fetal lung maturity if preterm. Delivery should be considered no later than 37 weeks in the absence of fetal compromise due to an ongoing risk for fetal demise, but can be considered at any time with signs of progressive compromise . With this approach, we anticipate that the risk for a fetal demise can be minimized and the fetal condition at birth can be optimized.…”

Section: Discussionmentioning

confidence: 99%

“…Delivery should be considered no later than 37 weeks in the absence of fetal compromise due to an ongoing risk for fetal demise, but can be considered at any time with signs of progressive compromise. [3][4][5] With this approach, we anticipate that the risk for a fetal demise can be minimized and the fetal condition at birth can be optimized.…”

Section: Discussionmentioning

confidence: 99%

“…Umbilical cord hemangiomas are very rare with fewer than 30 cases diagnosed prenatally . Although few reports have described the clinical course from early pregnancy, several have reported a significant risk of fetal compromise and demise following the sonographic diagnosis . However, the pathophysiology of fetal compromise in these cases has not been well‐documented despite a number of theories .…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Although few reports have described the clinical course from early pregnancy, several have reported a significant risk of fetal compromise and demise following the sonographic diagnosis. [3][4][5] However, the pathophysiology of fetal compromise in these cases has not been well-documented despite a number of theories. 2 We present a case of serial evaluations of a pregnant patient with a fetal umbilical cord hemangioma, which elucidate potential mechanisms for compromise.…”

Section: Introductionmentioning

confidence: 99%

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The natural history of an umbilical cord hemangioma

Smulian

Sarno

Rochon

et al. 2016

J. Clin. Ultrasound

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Umbilical cord hemangiomas are rare, and the natural history is poorly understood. We present a case where the clinical course was complicated by distal umbilical cord edema, episodes of proximal obstruction of umbilical artery blood flow, transient fetal pleural and pericardial effusions, and position-dependent abnormal fetal heart rate monitoring with periods of sustained fetal tachycardia. Delivery was performed for fetal growth restriction with abnormal fetal surveillance. This case highlights possible mechanisms for fetal decompensation as well as the importance of a multifaceted approach to the management of an umbilical cord mass using multiple tools for fetal assessment. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 44:455-458, 2016.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The natural history of an umbilical cord hemangioma

Smulian

Sarno

Rochon

et al. 2016

J. Clin. Ultrasound

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“…The poor blood circulation caused by umbilical hemangioma could also lead to other problems. There are references pointing out that umbilical thrombus could cause non-immune hydrops, polyhydramnios, fetal disseminated intravascular coagulation and fetal hydrops [6][7][8][9]. It is possible that these changes might lead to further reduction in umbilical circulation which has already been impaired by tumor compression.…”

Section: Discussionmentioning

confidence: 99%

A case of umbilical cord hemangioma

Yan¹,

Zhu²,

Liao³

et al. 2014

RJLM

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We report a rare case of an umbilical cord hemangioma. The umbilical cord consisted of Capillaries and cavernous blood vessels and the hemangioma stressed umbilical arteries and vein. At 40 weeks of gestation, it resulted in intrauterine death of the fetus. Microscopically, there were lots of vessels with various thicknesses in the umbilical cord. Autopsy shows evidences of smothering. These findings indicate there may be a causal connection between the umbilical cord hemangioma and fetal death because of the impaired umbilical circulation.

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Hemangioma of the umbilical cord: A case report on a rare entity

Thayer

Helal

Khanchel

et al. 2022

Clinical Case Reports

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Several hundred cases of placental hemangiomas have been reported in the literature. However, the umbilical cord is extremely uncommon as a site of occurrence. We present a case of postnatal discovery of giant hemangioma of the umbilical cord (HUM) in a Coronavirus Disease 2019 (COVID 19) positive mother. To our knowledge, this is the first reported case of HUM synchronous to a maternal infection with COVID 19. We aim, through this case and a review of the literature, to study the clinicopathological characteristics of this singular entity. Our patient, a 37‐year‐old woman, presented to the Department Of Obstetrics And Gynecology for respiratory distress and loss of fetal movements. Ultrasound examination concluded to intrauterine fetal desmise. After stabilization of the patient, a cesarean section was performed. A macerated fetus was extracted. Placenta showed a giant mass attached to the cord. It was submitted for pathological examination. Gross examination showed that the umbilical cord was inserted eccentrically with a fusiform dilation. Near its placental end, three cohesive solid angiomatous nodules were noted. Microscopic examination revealed lobules of dilated blood‐filled capillaries set in a myxoid stroma. The diagnosis of HUM have been established. HUM arise from endothelial cells of the umbilical vessels. Their etiology, physio‐pathology and pathways of tumorigenesis are not yet well defined. Further studies are needed to explore the pathways of tumorigenesis and to determin the implication of COVID‐19 in HUM.

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Umbilical hemangioma: a case report

Abstract: The prenatal diagnosis of umbilical cord hemangioma should be suspected when an echogenic mass is visualized within the umbilical cord.

Cited by 18 publications

References 7 publications

The natural history of an umbilical cord hemangioma

The natural history of an umbilical cord hemangioma

A case of umbilical cord hemangioma

Hemangioma of the umbilical cord: A case report on a rare entity

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