Hemangioma of the umbilical cord: A case report and proposal for standardised reporting criteria
Umbilical cord hemangiomas are rare benign vascular anomalies with limited documentation in the literature. Given their association with adverse perinatal outcomes, standardised criteria for reporting and monitoring are needed. This case report presents an instance of umbilical cord hemangioma and p...
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Elsevier
2025-06-01
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| Series: | Case Reports in Women's Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214911225000293 |
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| author | Isabella Charlotte Maréchal-Ross Sashi Siva Karen Mizia Jeremy Nicholas Pulvers Isabella Turton Ali Moghimi |
| author_facet | Isabella Charlotte Maréchal-Ross Sashi Siva Karen Mizia Jeremy Nicholas Pulvers Isabella Turton Ali Moghimi |
| author_sort | Isabella Charlotte Maréchal-Ross |
| collection | DOAJ |
| description | Umbilical cord hemangiomas are rare benign vascular anomalies with limited documentation in the literature. Given their association with adverse perinatal outcomes, standardised criteria for reporting and monitoring are needed. This case report presents an instance of umbilical cord hemangioma and proposes a structured framework for future documentation.A comprehensive literature review using OVID Medline and Embase identified cases of umbilical cord hemangiomas, their clinical presentations, and maternal and neonatal outcomes. A case diagnosed in the third trimester is presented, detailing antenatal surveillance, histopathological findings, and perinatal outcomes. Key parameters were analysed in the context of the literature to inform standardised reporting criteria.A 36-year-old woman (G3P2) was diagnosed with an umbilical cord hemangioma at 29 + 3 weeks gestation following a routine growth scan. Serial ultrasound scans demonstrated lesion stability until 35 + 4 weeks, prompting increased fetal surveillance. Multidisciplinary consensus favoured expectant management, leading to an uncomplicated spontaneous vaginal delivery at 39 weeks. Histopathology confirmed a cord hemangioma composed of dilated, ectatic vascular channels lined by endothelial cells.This case contributes to the growing body of evidence on umbilical cord hemangiomas by providing detailed clinical, ultrasound, and histopathological findings. Successful expectant management and favourable perinatal outcomes highlight the role of serial ultrasound surveillance. Given the rarity and potential risks of these lesions, standardised reporting is essential to improve understanding and to guide management. By proposing a set of standardised reporting criteria, this case report serves as a step toward enhancing data consistency and informing management strategies. |
| format | Article |
| id | doaj-art-dc03160c911943d288ad6e04ef3eefcc |
| institution | OA Journals |
| issn | 2214-9112 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Case Reports in Women's Health |
| spelling | doaj-art-dc03160c911943d288ad6e04ef3eefcc2025-08-20T02:08:27ZengElsevierCase Reports in Women's Health2214-91122025-06-0146e0070810.1016/j.crwh.2025.e00708Hemangioma of the umbilical cord: A case report and proposal for standardised reporting criteriaIsabella Charlotte Maréchal-Ross0Sashi Siva1Karen Mizia2Jeremy Nicholas Pulvers3Isabella Turton4Ali Moghimi5Department of Obstetrics & Gynaecology, Royal North Shore Hospital, Clinical Services Building, 1 Westbourne St, St Leonards 2065, NSW, Australia; Corresponding author at: Department of Obstetrics & Gynaecology, Royal North Shore Hospital, Clinical Services Building, 1 Westbourne St, St Leonards 2065, NSW, Australia.Department of Obstetrics & Gynaecology, Royal North Shore Hospital, Clinical Services Building, 1 Westbourne St, St Leonards 2065, NSW, AustraliaDepartment of Obstetrics & Gynaecology, Royal North Shore Hospital, Clinical Services Building, 1 Westbourne St, St Leonards 2065, NSW, AustraliaDepartment of Anatomical Pathology, NSW Health Pathology, Gosford Hospital, 75 Holden St, Gosford, NSW 2250, AustraliaDepartment of Anatomical Pathology, NSW Health Pathology, Gosford Hospital, 75 Holden St, Gosford, NSW 2250, AustraliaDepartment of Histopathology, The Children's Hospital at Westmead, Corner Hawkesbury Road and Hainsworth Street, Westmead, NSW 2145, Australia.Umbilical cord hemangiomas are rare benign vascular anomalies with limited documentation in the literature. Given their association with adverse perinatal outcomes, standardised criteria for reporting and monitoring are needed. This case report presents an instance of umbilical cord hemangioma and proposes a structured framework for future documentation.A comprehensive literature review using OVID Medline and Embase identified cases of umbilical cord hemangiomas, their clinical presentations, and maternal and neonatal outcomes. A case diagnosed in the third trimester is presented, detailing antenatal surveillance, histopathological findings, and perinatal outcomes. Key parameters were analysed in the context of the literature to inform standardised reporting criteria.A 36-year-old woman (G3P2) was diagnosed with an umbilical cord hemangioma at 29 + 3 weeks gestation following a routine growth scan. Serial ultrasound scans demonstrated lesion stability until 35 + 4 weeks, prompting increased fetal surveillance. Multidisciplinary consensus favoured expectant management, leading to an uncomplicated spontaneous vaginal delivery at 39 weeks. Histopathology confirmed a cord hemangioma composed of dilated, ectatic vascular channels lined by endothelial cells.This case contributes to the growing body of evidence on umbilical cord hemangiomas by providing detailed clinical, ultrasound, and histopathological findings. Successful expectant management and favourable perinatal outcomes highlight the role of serial ultrasound surveillance. Given the rarity and potential risks of these lesions, standardised reporting is essential to improve understanding and to guide management. By proposing a set of standardised reporting criteria, this case report serves as a step toward enhancing data consistency and informing management strategies.http://www.sciencedirect.com/science/article/pii/S2214911225000293Umbilical cord hemangiomaUmbilical cord tumourPlacental pathologyVascular anomalyObstetric ultrasoundPerinatal management |
| spellingShingle | Isabella Charlotte Maréchal-Ross Sashi Siva Karen Mizia Jeremy Nicholas Pulvers Isabella Turton Ali Moghimi Hemangioma of the umbilical cord: A case report and proposal for standardised reporting criteria Case Reports in Women's Health Umbilical cord hemangioma Umbilical cord tumour Placental pathology Vascular anomaly Obstetric ultrasound Perinatal management |
| title | Hemangioma of the umbilical cord: A case report and proposal for standardised reporting criteria |
| title_full | Hemangioma of the umbilical cord: A case report and proposal for standardised reporting criteria |
| title_fullStr | Hemangioma of the umbilical cord: A case report and proposal for standardised reporting criteria |
| title_full_unstemmed | Hemangioma of the umbilical cord: A case report and proposal for standardised reporting criteria |
| title_short | Hemangioma of the umbilical cord: A case report and proposal for standardised reporting criteria |
| title_sort | hemangioma of the umbilical cord a case report and proposal for standardised reporting criteria |
| topic | Umbilical cord hemangioma Umbilical cord tumour Placental pathology Vascular anomaly Obstetric ultrasound Perinatal management |
| url | http://www.sciencedirect.com/science/article/pii/S2214911225000293 |
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