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Review
. 2016 Oct;95(42):e5196.
doi: 10.1097/MD.0000000000005196.

Umbilical cord and visceral hemangiomas diagnosed in the neonatal period: A case report and a review of the literature

Alicia Iglesias-Deus  1 , Alejandro Pérez-Muñuzuri, Adela Urisarri, Adolfo Bautista-Casasnovas, Maria-Luz Couce
Affiliations
Review

Umbilical cord and visceral hemangiomas diagnosed in the neonatal period: A case report and a review of the literature

Alicia Iglesias-Deus et al. Medicine (Baltimore). 2016 Oct.

Abstract

Background: 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.

Methods: We report the case of a newborn referred with suspected omphalitis and umbilical hernia.

Results: 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.

Conclusion: 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.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Cord umbilical hemangioma when umbilical cord stump had not yet fallen off.
Figure 2
Figure 2
(A) Appearance of the umbilical mass before resection. (B) Surgical specimen. Center: umbilical mass. Top left: umbilical vein. Bottom right: right umbilical artery and aneurysm. Bottom left: left umbilical artery. Bottom center: urachus.
Figure 3
Figure 3
Magnetic resonance image showing umbilical and abdominal masses. The umbilical mass appears to be in contact with the bladder, but it is not continuous with the abdominal component.
Figure 4
Figure 4
Morphologic appearance of the visceral hemangioma.
See this image and copyright information in PMC

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