[Recurrence of multiple chorio-angiomas: a case-report].
Diffuse chorioangiomatosis is a rare placental pathology characterized by multiple chorioangiomas, inducing a high risk of fetal complications, especially cardiovascular, with a risk of fetal death. The physiopathology is not clearly established but seems to be related with an over-expression of vascular growth factors related to hypobaric-hypoxia. Here, we describe a case of recurrent chorioangiomatosis with fetal demise. No risk factors were identified (high altitude, genetic disease like Beckwith-Wiedemann, diabetes). Intra-amniotic, plasmatic values of alphafetoprotein and plasmatic beta gonadotrophin chorionic hormone remained low. Ultrasonographic assessment of placental thickness was in the normal range, at 22 and 32 weeks of gestation. In case of previous chorioangiomatosis, we recommend a weekly sonographic monitoring to diagnose fetal complications associated with an early inpatient hospitalization for daily surveillance at the age of previous accidents. Labor will be induced in case of fetal intolerance or systematically after 37-38 weeks of gestation.
Gallot
D
D
Unité de médecine maternofoetale, maternité de l'Hôtel-Dieu, avenue Vercingétorix, 63003 Clermont-Ferrand, France.
Sapin
V
V
Beaufrère
A-M
AM
Boda
C
C
Laurichesse-Delmas
H
H
Déchelotte
P
P
Lémery
D
D
D000328:Adult; D002824:Chorionic Villi / Q000473:pathology; D005260:Female; D005313:Fetal Death / Q000209:etiology; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D005323:Fetal Monitoring; D006391:Hemangioma / Q000473:pathology*; D006801:Humans; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000473:pathology*; D018566:Pregnancy, High-Risk; D012008:Recurrence; D016216:Ultrasonography, Prenatal; D014594:Uterine Neoplasms / Q000473:pathology*