A Case report of Placental Chorioangioma

Document Type : Case report

Authors

1 Assistant professor, Department of Obstetrics and Gynecology, Women's Health Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Resident, Department of Obstetrics and Gynecology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Introduction: Placental Chorioangioma, a rare tumor with a prevalence of about 1% is usually expressed with single nodules and less common with multiple nodules. Chorioangioma is found in the fetus or in placenta parenchyma. More Chorioangioma are small and without clinical significance, but Chorioangioma with size of greater than 5 cm or multiple nodules may be associated with pregnancy complications. In this study, a large placental Chorioangioma which led to anemic baby is reported.
Case presentation: A 24-year-old woman G1Ab1 had referred on 01/30/94 due to clear amniotic fluid leak, gestational age was 30 weeks and 2 days based on ultrasound performed at 13 weeks of pregnancy at the time of admission and only this ultrasound noted that there was placental echogenic mass and the rest ultrasound reported normal placental. The caesarean section was performed for the patient due to fetal tachycardia and variable deceleration and beat to beat decrease, and a preterm boy with 3 Apgar score at first minute and 4 Apgar score at 5 minute with 12401 grams weight was born. Uterus was atonic and placenta was great and multi-lobulated. The neonate was very anemic and IUGR and placental pathology reported huge placental Chorioangioma.
Conclusion: It is recommended that sufficient attention be paid to placenta characteristics in pregnancy ultrasound and with timely diagnosis of placental pathology perform necessary interventions to reduce adverse pregnancy outcomes.

Keywords


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