Kandoussi Hajar, Elmoustaph Sidi, Douraidi Nada, Elhanchi Zaki, Mahfoud Hounaida
Gynaecology-Obstetrics and Endoscopy Department, Maternity Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco.
Gynaecology-Obstetrics and Endoscopy Department, Maternity Souissi, University Hospital Center IBN SINA, University Mohammed V, Rabat, Morocco.
Int J Surg Case Rep. 2025 Aug;133:111563. doi: 10.1016/j.ijscr.2025.111563. Epub 2025 Jun 24.
Umbilical cord hemangiomas are extremely rare benign vascular tumors with poorly defined clinical implications. Early antenatal diagnosis through ultrasound and Doppler imaging is possible but remains challenging. Due to their rarity and variable ultrasound features, individualized monitoring and management are critical for favorable outcomes.
We report a case of a distal umbilical cord hemangioma diagnosed during the second trimester of pregnancy. Serial ultrasound monitoring revealed progressive growth of the mass without fetal compromise. The patient underwent close ultrasound surveillance, and an elective cesarean section was performed at 38 weeks of gestation, resulting in the delivery of a healthy newborn. Postnatal histopathological analysis confirmed the diagnosis of umbilical cord hemangioma associated with cystic degeneration of Wharton's jelly.
This case highlights the diagnostic challenges associated with umbilical cord hemangiomas, given their rarity and variable ultrasound characteristics. The differential diagnosis includes other cord masses such as teratomas and hematomas. Despite the absence of standardized guidelines, early detection and vigilant ultrasound surveillance-including Doppler evaluation of the umbilical vessels-are essential to ensure fetal well-being. Histological examination remains the gold standard for diagnosis. In this case, a multidisciplinary approach and careful management contributed to favorable maternal and neonatal outcomes.
This case demonstrates that, despite the rarity and unpredictable nature of umbilical cord hemangiomas, favorable outcomes can be achieved with early detection, close antenatal monitoring, and individualized delivery planning. A multidisciplinary team approach is vital to optimize maternal and neonatal outcomes.
脐带血管瘤是极其罕见的良性血管肿瘤，其临床意义尚不明确。通过超声和多普勒成像进行早期产前诊断是可行的，但仍具有挑战性。由于其罕见性和超声特征的多样性，个体化监测和管理对于取得良好结局至关重要。
我们报告一例在妊娠中期诊断出的脐带远端血管瘤病例。系列超声监测显示肿块逐渐生长，但未对胎儿造成不良影响。患者接受了密切的超声监测，并在妊娠38周时进行了择期剖宫产，产下一名健康新生儿。产后组织病理学分析证实了脐带血管瘤伴华通胶囊性变的诊断。
鉴于脐带血管瘤的罕见性和超声特征的多样性，本病例凸显了与之相关的诊断挑战。鉴别诊断包括其他脐带肿物，如畸胎瘤和血肿。尽管缺乏标准化指南，但早期检测和 vigilant 超声监测（包括对脐血管的多普勒评估）对于确保胎儿健康至关重要。组织学检查仍然是诊断的金标准。在本病例中，多学科方法和精心管理促成了良好的母婴结局。
本病例表明，尽管脐带血管瘤罕见且性质不可预测，但通过早期检测、密切产前监测和个体化分娩计划可取得良好结局。多学科团队方法对于优化母婴结局至关重要。
