Iglesias-Deus Alicia, Pérez-Muñuzuri Alejandro, Urisarri Adela, Bautista-Casasnovas Adolfo, Couce Maria-Luz
Neonatal Unit, Department of Pediatrics. Santiago de Compostela University Hospital, IDIS (Health Research Institute of Santiago de Compostela) Pediatric Surgery Department, Santiago de Compostela University Hospital, Galicia, España.
Medicine (Baltimore). 2016 Oct;95(42):e5196. doi: 10.1097/MD.0000000000005196.
Umbilical cord hemangioma is very rare and may not be detected prenatally. However, it should be considered in differential diagnosis with other umbilical masses because it can cause significant morbidity.
We report the case of a newborn referred with suspected omphalitis and umbilical hernia.
Physical examination showed an irreducible umbilical tumor, the size of olive, with dubious secretion. The initial suspected diagnosis was urachal or omphalomesenteric duct remnants. Abdominal ultrasound and magnetic resonance imaging showed an umbilical and a mesenteric mass. Tumor markers were negative. A definitive diagnosis of umbilical cord and intestinal hemangioma was established after surgical excision and histologic examination of the umbilical mass. Propranolol was prescribed due to the extent of the intestinal lesion.
This report highlights the diagnostic challenges of hemangiomas in unusual locations. Apart from the rarity of these tumors, few tests are available to guide diagnosis, and surgery and histologic examination are generally required for a definitive diagnosis. Finally, it is essential to rule out associated malformations and hemangiomas in other locations.
脐带血管瘤非常罕见，产前可能无法检测到。然而，由于它可导致严重的发病情况，在与其他脐部肿物进行鉴别诊断时应予以考虑。
我们报告了一例因疑似脐炎和脐疝转诊的新生儿病例。
体格检查发现一个无法回纳的脐部肿物，橄榄大小，有可疑分泌物。最初怀疑的诊断是脐尿管或卵黄管残余。腹部超声和磁共振成像显示一个脐部肿物和一个肠系膜肿物。肿瘤标志物为阴性。对脐部肿物进行手术切除并组织学检查后，确诊为脐带和肠道血管瘤。由于肠道病变范围，给予了普萘洛尔治疗。
本报告强调了罕见部位血管瘤的诊断挑战。除了这些肿瘤罕见外，可供指导诊断的检查很少，明确诊断通常需要手术和组织学检查。最后，排除其他部位的相关畸形和血管瘤至关重要。
