Umbilical cord haematoma

Umbilical cord haematoma describes the formation of a haematoma secondary to bleeding from the umbilical cord.

Pathology

The haematomas can be either spontaneous or iatrogenic. Spontaneous bleeding is very rare and documented to be around 0.02% of pregnancies. Majority of the cases are iatrogenic related to procedures like cordocentesis.

Risk factors 

Radiographic features

Ultrasound
  • focal cord expansion with a heteroechoic to hyperechoic mass in the umbilical cord.
  • discordant umbilical artery doppler waveforms 
  • normal placenta

Treatment and prognosis

It is associated with high fetal morbidity and mortality. 

Ultrasound - obstetric
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Article information

rID: 38533
System: Obstetrics
Tag: refs, cases
Synonyms or Alternate Spellings:
  • Umbilical cord hematoma
  • Umbilical cord haematomas

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