1
|
Ben Thayer M, Helal I, Khanchel F, Mbarki C, Bettaieb H, Ben Brahim E, Jouini R, Chadli Debbiche A. Hemangioma of the umbilical cord: A case report on a rare entity. Clin Case Rep 2022; 10:e6441. [PMID: 36245456 PMCID: PMC9547990 DOI: 10.1002/ccr3.6441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2022] [Revised: 09/01/2022] [Accepted: 09/23/2022] [Indexed: 11/11/2022] Open
Abstract
Several hundred cases of placental hemangiomas have been reported in the literature. However, the umbilical cord is extremely uncommon as a site of occurrence. We present a case of postnatal discovery of giant hemangioma of the umbilical cord (HUM) in a Coronavirus Disease 2019 (COVID 19) positive mother. To our knowledge, this is the first reported case of HUM synchronous to a maternal infection with COVID 19. We aim, through this case and a review of the literature, to study the clinicopathological characteristics of this singular entity. Our patient, a 37‐year‐old woman, presented to the Department Of Obstetrics And Gynecology for respiratory distress and loss of fetal movements. Ultrasound examination concluded to intrauterine fetal desmise. After stabilization of the patient, a cesarean section was performed. A macerated fetus was extracted. Placenta showed a giant mass attached to the cord. It was submitted for pathological examination. Gross examination showed that the umbilical cord was inserted eccentrically with a fusiform dilation. Near its placental end, three cohesive solid angiomatous nodules were noted. Microscopic examination revealed lobules of dilated blood‐filled capillaries set in a myxoid stroma. The diagnosis of HUM have been established. HUM arise from endothelial cells of the umbilical vessels. Their etiology, physio‐pathology and pathways of tumorigenesis are not yet well defined. Further studies are needed to explore the pathways of tumorigenesis and to determin the implication of COVID‐19 in HUM.
Collapse
Affiliation(s)
- Maissa Ben Thayer
- Tunis El Manar UniversityFaculty of Medicine of TunisTunisTunisia,Department of pathologyHabib Thameur's HospitalTunisTunisia
| | - Imen Helal
- Tunis El Manar UniversityFaculty of Medicine of TunisTunisTunisia,Department of pathologyHabib Thameur's HospitalTunisTunisia
| | - Fatma Khanchel
- Tunis El Manar UniversityFaculty of Medicine of TunisTunisTunisia,Department of pathologyHabib Thameur's HospitalTunisTunisia
| | - Chaouki Mbarki
- Tunis El Manar UniversityFaculty of Medicine of TunisTunisTunisia,Department of Obstetrics and gynaecologyYasminette's HospitalBen ArousTunisia
| | - Hajer Bettaieb
- Tunis El Manar UniversityFaculty of Medicine of TunisTunisTunisia,Department of Obstetrics and gynaecologyYasminette's HospitalBen ArousTunisia
| | - Ehsen Ben Brahim
- Tunis El Manar UniversityFaculty of Medicine of TunisTunisTunisia,Department of pathologyHabib Thameur's HospitalTunisTunisia
| | - Raja Jouini
- Tunis El Manar UniversityFaculty of Medicine of TunisTunisTunisia,Department of pathologyHabib Thameur's HospitalTunisTunisia
| | - Aschraf Chadli Debbiche
- Tunis El Manar UniversityFaculty of Medicine of TunisTunisTunisia,Department of pathologyHabib Thameur's HospitalTunisTunisia
| |
Collapse
|
2
|
Zhang L, Huang S, Li J, Gong E, Wang X, Li H, He H. A case of umbilical cord angiomyxoma with massive arteriovenous shunts diagnosed with HDlive Flow. J Med Ultrason (2001) 2020; 48:109-110. [PMID: 33174161 DOI: 10.1007/s10396-020-01063-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Accepted: 10/12/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Lan Zhang
- Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuzhong District, Chongqing, China.,Fetal Medicine Unit, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.,International Collaborative Joint Laboratory of Reproduction and Development of Ministry of Education P.R.C, Chongqing Medical University, Chongqing, China.,State Key Laboratory of Maternal and Fetal Medicine of Chongqing Municipality, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Shuai Huang
- Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuzhong District, Chongqing, China.,Fetal Medicine Unit, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.,International Collaborative Joint Laboratory of Reproduction and Development of Ministry of Education P.R.C, Chongqing Medical University, Chongqing, China.,State Key Laboratory of Maternal and Fetal Medicine of Chongqing Municipality, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Junnan Li
- Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuzhong District, Chongqing, China.,Fetal Medicine Unit, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.,International Collaborative Joint Laboratory of Reproduction and Development of Ministry of Education P.R.C, Chongqing Medical University, Chongqing, China.,State Key Laboratory of Maternal and Fetal Medicine of Chongqing Municipality, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - E Gong
- Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuzhong District, Chongqing, China.,Fetal Medicine Unit, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.,International Collaborative Joint Laboratory of Reproduction and Development of Ministry of Education P.R.C, Chongqing Medical University, Chongqing, China.,State Key Laboratory of Maternal and Fetal Medicine of Chongqing Municipality, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Xinmei Wang
- Department of Pathology, Chongqing Medical University, Chongqing, China
| | - Heqiu Li
- Department of Pathology, Chongqing Medical University, Chongqing, China
| | - Huan He
- Department of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuzhong District, Chongqing, China. .,Fetal Medicine Unit, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China. .,International Collaborative Joint Laboratory of Reproduction and Development of Ministry of Education P.R.C, Chongqing Medical University, Chongqing, China. .,State Key Laboratory of Maternal and Fetal Medicine of Chongqing Municipality, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
| |
Collapse
|