Umbilical cord haemangioma with pseudocyst detected in the first trimester of pregnancy

This study describes a case of an umbilical cord haemangioma diagnosed during a first-trimester ultrasound examination in the 13th week of gestation. The anomaly initially presented as a double cystic lesion located in the mid-portion of the umbilical cord. Subsequent ultrasound scans revealed a hyperechoic solid structure within the cystic lesion near the umbilical vessels, and an umbilical cord haemangioma was suspected. Given the possible fetal complications related to the growth of the lesion, serial ultrasound examinations with detailed Doppler flow studies of the lesion were performed. The pregnancy progressed without complications, and the patient underwent elective caesarean delivery at term. The histopathological examination of the cord confirmed a benign capillary haemangioma with pseudocystic degeneration of Wharton's jelly. Postnatally, a small cutaneous haemangioma was noted on the scalp of the newborn.