title: Massive subchorionic hematoma (Breus' mole) complicated by intrauterine growth retardation.
abstract: We present here a case of massive subchorionic hematoma complicated by intrauterine growth retardation and oligohydramnios diagnosed at 22 weeks' gestation. The patient was managed with the following medications: (1) tocolysis with ritodrine infusion, (2) 10%maltose infusion therapy (1500mL/day), (3) antibiotic infusion (cefotaxim sodium, 2 g/dayx7) and (4) kampo therapy with Sairei-to until delivery. At 33 weeks and 0 days' gestation, a female baby weighing 1,342 g was delivered without complication by caesarean section. During surgery, an escape of about 500~600 g of dark brown blood with no clots was noted from the subchorionic space of the placenta. Examination of the placenta showed a large fibrosis with well-defined margins on the fetal surface.
authors.affiliation: Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Nishida
authors.forename: S
authors.initials: S
authors.lastname: Suzuki
authors.forename: Y
authors.initials: Y
authors.lastname: Hamamura
authors.forename: K
authors.initials: K
authors.lastname: Igarashi
authors.forename: Z
authors.initials: Z
authors.lastname: Hayashi
authors.forename: R
authors.initials: R
authors.lastname: Sawa
authors.forename: Y
authors.initials: Y
authors.lastname: Yoneyama
authors.forename: H
authors.initials: H
authors.lastname: Asakura
authors.forename: K
authors.initials: K
authors.lastname: Kawabata
authors.forename: Y
authors.initials: Y
authors.lastname: Shima
authors.forename: S
authors.initials: S
authors.lastname: Shin
authors.forename: T
authors.initials: T
authors.lastname: Araki
mesh_terms: D000328:Adult; D002823:Chorion; D005260:Female; D005317:Fetal Growth Retardation / Q000209:etiology*; D006406:Hematoma / Q000150:complications* / Q000628:therapy; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy