The Natural History of an Umbilical Cord Hemangioma.

Authors

John C. Smulian MD, MPH, Lehigh Valley Health NetworkFollow
Albert P. Sarno . MD, MPH, Lehigh Valley Health NetworkFollow
Meredith L. Rochon MD, Lehigh Valley Health NetworkFollow
Victoria A. Loven MD, Lehigh Valley Health NetworkFollow

Publication/Presentation Date

9-1-2016

Abstract

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, 2016.

Volume

44

Issue

7

First Page

455

Last Page

458

ISSN

1097-0096

Published In/Presented At

Smulian, J. C., Sarno, A. P., Rochon, M. L., & Loven, V. A. (2016). The natural history of an umbilical cord hemangioma. Journal Of Clinical Ultrasound, 44(7), 455-458. doi:10.1002/jcu.22346.

Disciplines

Medical Specialties | Obstetrics and Gynecology | Pathology

PubMedID

26899634

Department(s)

Department of Obstetrics and Gynecology, Department of Obstetrics and Gynecology Faculty, Department of Pathology and Laboratory Medicine, Pathology Laboratory Medicine Faculty

Document Type

Article