Placental chorioangioma. Case report and review of the literature
DOI:
https://doi.org/10.18597/rcog.433Keywords:
chorioangioma, foetal anaemia, foetoscopy, foetal surveillanceAbstract
Objective: reporting a case of placental chorioangioma which had been diagnosed and followed-up in our unit; later on, it presented fatal haemodynamic complications for the foetus. The literature concerning the diagnosis and therapeutic options was then reviewed.
Case report: a case of placental chorioangioma, diagnosed at 20 weeks gestation, is presented; it was followed-up by using several imagenologic techniques. It developed anaemia and posterior foetal demise following a foetoscopic procedure.
Discussion: chorioangioma is the most common placental tumour, being presented in as many as 1% of all pregnancies. However, corioangiomas measuring more than 4-5 cm are rare and are often associated with severe foetal complications such as anaemia, thrombocytopenia and cardiac failure. Several management options have been proposed (i.e. expectant foetal surveillance, in utero transfusion, foetal invasive procedures using foetoscopy and guided ultrasound).
Conclusions: large chorioangiomas (although being infrequent) can have serious maternal and foetal complications. There is no universal agreement about the best therapeutic approach for this type of tumour.
Author Biographies
Andrés Sarmiento-Rodríguez
Fabio Ernesto Quijano-García
Giuliana Puccini-Santamaría
Nadiezhda Rodríguez-Acosta
Pablo Andrés Victoria-Gómez
References
Bashiri A, Furman B, Erez O, Wiznitzer A, Holcberg G, Mazor M. Twelve cases of placental chorioangioma pregnancy outcome and clinical significance. Arch Gynecol Obstet 2002;266:53-5.
Quintero RA, Reich H, Romero R, Johnson MP, Gonçalves L, Evans MI. In utero devascularization of a large chorioangioma. Ultrasound Obstet Gynecol 1996;8:48-52.
Sepulveda W, Alcalde JL, Schnapp C, Bravo M. Perinatal outcome after prenatal diagnosis of placental corioangioma. Obstet Gynecol 2003;102:1028-33.
Shih JC, Ko TL, Lin MC, Shyu MK, Lee CN, Hsieh FJ. Quantitative three-dimensional power doppler ultrasound predicts the outcome of placental chorioangioma. Ultrasound Obstet Gynecol 2004;24:202-6.
Nicolini U, Zuliani G, Caravelli E, Fogliani R, Poblete A, Roberts A. Alcohol injection: a new method of treating placental chorioangiomas. Lancet 1999;353:1674-5.
Bhide A, Prefumo F, Sairam S, Carvalho J, Thilaganathan B. Ultrasound-guided interstitial laser therapy for the treatment of placental chorioangioma. Obstet Gynecol 2003;102:1189-91.
Quarello E, Bernard JP, Leroy B, Villa Y. Prenatal laser treatment of a placental chorioangioma. Ultrasound Obstet Gynecol 2005;25:299-302.
Lau TK, Leung TY, Yu SC, To KF, Leung TN. Prenatal treatment of chorioangioma by microcoil embolisation. BJOG 2003;110:70-3.
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Copyright (c) 2016 Revista Colombiana de Obstetricia y Ginecología
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