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


METHODS
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.


CONCLUSIONS
In case of early prenatal diagnosis of spontaneous umbilical hematoma accompanied with signs of fetal distress, labor should be considered.
Makhoul
Imad R
IR
Department 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
Solt
Ido
I
Smolkin
Tatiana
T
Brenner
Benjamin
B
Reis
Arie
A
Lowenstein
Lior
L
D000328:Adult; D002585:Cesarean Section; D005260:Female; D006406:Hematoma / Q000473:pathology*; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood*; D011256:Pregnancy Outcome; D014470:Umbilical Cord / Q000473:pathology*