Jacques Suzanne M, Qureshi Faisal
Fetal Pediatr Pathol. 2013 Jun;32(3):235-9. doi: 10.3109/15513815.2012.721478. Epub 2012 Sep 27.
A case of hemangioma of the umbilical cord with an associated amnionic epithelial inclusion cyst (4.5 cm in maximum dimension), diagnosed by pathological examination at 26 weeks of gestation following in utero fetal demise, is reported. These are both uncommon lesions of the umbilical cord, and to our knowledge, have not been reported together. Prenatal ultrasound at 20 weeks of gestation had shown no fetal or placental abnormalities. The cyst formation may have been secondary to the hemangioma, possibly the result of damage to the amnion caused by the associated edema and myxomatous degeneration of Wharton's jelly.
本文报告了一例脐带血管瘤合并羊膜上皮包涵囊肿(最大直径4.5厘米)的病例,该病例在妊娠26周时经病理检查确诊,此前胎儿已在子宫内死亡。这两种都是脐带的罕见病变,据我们所知,尚未有两者同时出现的报道。妊娠20周时的产前超声检查未发现胎儿或胎盘异常。囊肿形成可能继发于血管瘤,可能是由华通胶相关水肿和黏液样变性导致的羊膜损伤所致。