A case of chorioangioma of placenta complicated by fetal anemia and fetal hydrops.

Jeong, Chang Won; Lee, Chae Hyung; Han, Seung Su; Park, Chan Wook; Shim, Soon Sup; Park, Joong Shin; Jun, Jong Kwan; Yoon, Bo Hyun; Syn, Hee Chul

Obstet Gynecol Sci > Volume 49(1); 2006 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2006;49(1):201-207.
Published online January 1, 2006.

A case of chorioangioma of placenta complicated by fetal anemia and fetal hydrops.

Chang Won Jeong, Chae Hyung Lee, Seung Su Han, Chan Wook Park, Soon Sup Shim, Joong Shin Park, Jong Kwan Jun, Bo Hyun Yoon, Hee Chul Syn

Department of Obstetrics and Gynecology, Seoul National University, College of Medicine, Seoul, Korea. jhs0927@snu.ac.kr

Abstract

Benign chorioangioma of the placenta is the most common primary tumor of the placenta similar to hamartoma. Most small-sized tumors do not make any clinical problem, but uncommon large tumors (>5 cm in diameter) may produce both maternal and fetal complications, such as polyhydramnios, preterm labor, fetal hydrops, microangiopathic hemolytic anemia, disseminated intravascular coagulation, intrauterine growth restriction, preeclampsia and placental abruption. In this respect, the diagnosis and management of chorioangioma and its complication should be done appropriately. We report a case of chorioangioma presenting with polyhydramnios, preterm labor, fetal anemia and fetal hydrops, diagnosed by antenatal ultrasonography and postnatal placental histologic examination, and live born baby with the brief review of the literature related to this type of tumor.

Key Words: Chorioangioma, Fetal anemia, Fetal non-immune hydrops, Polyhydramnios