Spontaneous umbilical cord hematoma
Makhoul, I.R.; Solt, I.; Smolkin, T.; Brenner, B.; Reis, A.; Lowenstein, L.
Harefuah 144(4): 237-238; 304
2005
ISSN/ISBN: 0017-7768 PMID: 15889602 Document Number: 585007
Spontaneous umbilical cord hematoma is rare and might be associated with fetal death. 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. In case of early prenatal diagnosis of spontaneous umbilical hematoma accompanied with signs of fetal distress, labor should be considered.