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[Spontaneous umbilical cord hematoma]

Imad R Makhoul¹, Ido Solt, Tatiana Smolkin

¹Department of Neonatology, Meyer Childrens Hospital and Rambam Medical Center, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel. makhoul@rambam.health.gov.il

|May 14, 2005

Background:

Spontaneous umbilical cord hematoma is rare and might be associated with fetal death.

Case:

An emergency cesarean section was performed on a woman during the 41st week of gestation due to fetal distress. A stretched umbilical cord with hematoma was evident. The infant had tachypnea without any other physical or neurological damage. We speculate that traction of the cord led to a tear of an umbilical vessel, cord hematoma, compression of cord vessels and fetal compromise.

Conclusion:

In case of early prenatal diagnosis of spontaneous umbilical hematoma accompanied with signs of fetal distress, labor should be considered.

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