Massive subchorionic hematoma (Breus' mole) complicated by intrauterine growth retardation.
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.
Nishida
N
N
Department of Obstetrics and Gynecology, Nippon Medical School, Tokyo, Japan.
Suzuki
S
S
Hamamura
Y
Y
Igarashi
K
K
Hayashi
Z
Z
Sawa
R
R
Yoneyama
Y
Y
Asakura
H
H
Kawabata
K
K
Shima
Y
Y
Shin
S
S
Araki
T
T
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