Fetal hepatic hemangioma representing non-reassuring pattern in fetal heart rate monitoring.
To the best of our knowledge, this is the first report of a non-reassuring fetal pattern caused by a hepatic hemangioma that was found during fetal heart rate monitoring. A 37 weeks' gestation, a 32-year-old-woman was referred to our hospital for evaluation of a rapidly growing fetal abdominal tumor. Fetal heart rate monitoring revealed a non-reassuring pattern, and a cesarean section was performed as a result. Examination of the 2820 g female infant suggested a hepatic hemangioma accompanying an intratumor hemorrhage and coagulopathy. The infant died 2 days after birth. The autopsy confirmed that the cause of death was a result of a hepatic hemangioma. Frequent monitoring of fetuses and ultrasound examinations are necessary for determining the timing of delivery and for a favorable prognosis.
Morimura
Yutaka
Y
Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, Fukushima, Japan. y-nomura@fmu.ac.jp
Fujimori
Keiya
K
Ishida
Tomohiko
T
Ito
Akiko
A
Nomura
Yasuhisa
Y
Sato
Akira
A
D000328:Adult; D017809:Fatal Outcome; D005260:Female; D005315:Fetal Diseases / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006340:Heart Rate, Fetal / Q000502:physiology*; D006391:Hemangioma / Q000000981:diagnostic imaging / Q000503:physiopathology*; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008991:Monitoring, Physiologic / Q000379:methods*; D011247:Pregnancy; D011256:Pregnancy Outcome; D016216:Ultrasonography, Prenatal