Umbilical cord cyst: a diagnostic dilemma

Aayushi Kaushal, Reeti Mehra, Sunita Dubey, Poonam Goel, Seema Sheokand, Navjot Kaur


Umbilical cord cyst refers to any cystic lesion associated with the umbilical cord. Cord cysts can be defined as true or false cysts and may occur in any location along the cord. They are irregular in shape and are located between the cord vessels. Authors are reporting the case of an infant with an umbilical cord tumor which had twice been misdiagnosed previously as a hemangioma, based on ultrasound image of its cystic and solid component with good vascular supply. The ultrasound image most likely suggestive of a hemangioma as a differential diagnosis led to caesarean section in our patient (based on large size of the lesion and fear of rupture of same during process of labour). The definitive diagnosis was made only after birth of the baby. Final diagnosis of true umbilical cord cyst was made after histopathological examination. Thus, there can be confusion in the diagnosis between umbilical cord hemangiomas and umbilical cord cysts based on ultrasound.


Umbilical cord, Umbilical cord cyst, Umbilical cord hemangioma

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Morgan BLG, Ross MG. 2006. Umbilical Cord. Complications. (On-line article.) Omaha, Neb: Updated March 1, 2006.

Heredia F, Jeanty P. Umbilical Cord Anomalies.

Ratan SK, Rattan KN, Kalra R, Maheshwari J, Parihar D, Ratan J. Omphalomesenteric duct cyst as a content of omphalocele. Indian J Pediatr.2007; 74:500-2.

Bunch PT, Kline-Fath BM, Imhoff SC, Calvo-Garcia MA, Crombleholme TM, Donnelly LF. Allantoic cyst: a prenatal clue to patent urachus. Pediatr Radiol 2006;36:1090-513.

Kilicdag EB, Kilicdag H, Bagis T, Tarim E, Yanik F. Large pseudocyst of the umbilical cord associated with patent urachus. J Obstet Gynaecol Res. 2004; 30:444-7.

Iyoob SD, Tsai A, Ruchelli ED, Coleman BG, Wilson RD. Large umbilical cord hemangioma: Sonographic features with surgical pathologic correlation. J Ultrasound Med.2006;25(11):1495-8.

Marino T. Ultrasound abnormalities of the amniotic fluid, membranes, umbilical cord, and placenta. Obstetr Gynecol Clinics North Am.2004; 31(1):177-200

Peter W Callen.Ultrasound evaluation of placenta and umbilical cord: In textbook of ultrasonography in obstetrics and gynaecology: 5th ed. Saunders Elsevier publication;2007:750-54.

Bisset lal, Durr-e-Sabih, ed. Differential diagnoisis in obstetrics and gynaecological ultrasound: 3rd ed. Elsevier publication;2013:63-5.

Kiran H, Kiran G, Kanber Y. Pseudocyst of the umbilical cord with mucoid degeneration of Wharton’s jelly. European J Obstetr Gynecol Reproductive Biol.2003;11(1):91-93.

Kinare A. Fetal environment. Indian J Radiol Imaging. 2008;18(4):326-44.

Ghezzi F, Raio L, Di Naro E, Franchi M, Cromi A, Dürig P. Single and multiple umbilical cord cysts in early gestation: two different entities. Ultrasound Obstetr Gynecol. 2003;21(3):215-9.

Gilboa Y, Kivilevitch Z, Katorza E, Leshem Y, Borokovski T, Spira M, et al. Outcomes of fetuses with umbilical cord cysts diagnosed during nuchal translucency examination. J Ultrasound Med. 2011;30(11):1547-1.

Hannaford K, Reeves S, Wegner E. Umbilical cord cysts in the first trimester: are they associated with pregnancy complications? J Ultrasound Med.2013; 32(5):801-6.

Zangen R, Boldes R, Yaffe H, Schwed P, Weiner Z. Umbilical cord cysts in the second and third trimesters: significance and prenatal approach. Ultrasound Obstetr Gynecol. 2010;36(3):296-301.

Szpejankowski K, Guzik P, Chechlinski P, Jach R, Ostrowski B. Pseudocyst of the umbilical cord-case report. Med Review. 2015;72(7):394-6.

Vougiouklakis T, Mitselou A, Zikopoulos K, Dallas P, Charalabopoulos K. Ruptured hemangioma of the umbilical cord and intrauterine fetal death, with review data. Pathol Res Pract. 2006; 202:537-40.