A case of placental multiple giant chorangioma leading to neonatal death from fetal hydrops

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Case Reports in Perinatal Medicine Pub Date : 2022-09-12 DOI:10.1515/crpm-2022-0008
Aoi Shiraga, Takuma Ohsuga, K. Kawasaki, Haruta Mogami, S. Minamiguchi, Masaki Mandai
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引用次数: 1

Abstract

Abstract Objectives Although placental chorangiomas are often asymptomatic, larger tumors (>4–5 cm) can cause various perinatal complications, including polyhydramnios, preterm birth, fetal anemia, fetal hydrops, and intrauterine fetal death. Symptomatic placental chorangiomas are often diagnosed prenatally on ultrasonography as a mass on the fetal side of the placenta. Case presentation A 37-year-old pregnant woman underwent emergency cesarean delivery at 34 weeks’ gestation due to rapidly progressive fetal hydrops leading to fetal dysfunction, resulting in neonatal death. Placental pathology indicated multiple placental giant chorangiomas that occupied 40% of the placenta. Because of the disk shape of the placenta, prenatal diagnosis by ultrasonography was difficult. Conclusions Some placental chorangiomas are difficult to diagnose and lead to fetal hydrops and poor prognosis, even if ultrasonography does not show an obvious mass in the placenta.
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胎儿积水致胎盘多发性巨大脉管瘤新生儿死亡1例
目的虽然胎盘绒毛膜瘤通常无症状,但较大的肿瘤(> 4-5 cm)可引起各种围产期并发症,包括羊水过多、早产、胎儿贫血、胎儿水肿和宫内胎儿死亡。有症状的胎盘绒毛膜瘤通常在产前超声检查中被诊断为胎盘胎儿侧的肿块。一例37岁孕妇在妊娠34周时因迅速进展的胎儿水肿导致胎儿功能障碍,导致新生儿死亡,接受紧急剖宫产。胎盘病理显示多发性巨大绒毛膜瘤占胎盘的40%。由于胎盘呈盘状,产前超声诊断比较困难。结论部分胎盘绒毛膜瘤即使超声检查未见明显肿块,诊断困难,可导致胎儿水肿,预后差。
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来源期刊
Case Reports in Perinatal Medicine
Case Reports in Perinatal Medicine OBSTETRICS & GYNECOLOGY-
自引率
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发文量
37
期刊介绍: Case Reports in Perinatal Medicine is a double-blind peer-reviewed journal. The objective of the new journal is very similar to that of JPM. In addition to evidence-based studies, practitioners in clinical practice esteem especially exemplary reports of cases that reveal specific manifestations of diseases, its progress or its treatment. We consider case reports and series to be brief reports describing an isolated clinical case or a small number of cases. They may describe new or uncommon diagnoses, unusual outcomes or prognosis, new or infrequently used therapies and side effects of therapy not usually discovered in clinical trials. They represent the basic concept of experiences for studies on representative groups for further evidence-based research. The potential roles of case reports and case series are: Recognition and description of new diseases Detection of drug side effects (adverse or beneficial) Study of mechanisms of disease Medical education and audit Recognition of rare manifestations of disease.
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