title: A rare form of abruptio placenta and clinical presentation in a preterm labor case: Breus' mole.
abstract: A normotensive pregnant woman who had no historical risk factors for abruption placenta and found to have Breus' mole that indicates the pattern of single or multiple hematoma protrude above the chorionic plate was encountered. The case resembled a large fetal abdominal wall defect coexisting with a singleton live-born fetus at 27 weeks of gestational age is presented. The obstetric ultrasound showed that multiple coiled masses in the amniotic cavity, both the fetus and the placenta were normal. After two courses of tocolysis therapy, a healthy and, 1,400 g live-born infant was delivered through cesarean section due to fetal distress. Apgar scores at 1 and 5 min were 5 and 8, respectively. The infant died on postnatal day 6 due to severe respiratory distress and prematurity. This rare condition probably occurs frequently in missed abortion and the etiology is unknown, but is probably related to circulatory disturbance on maternal site. We report a rare clinical presentation and review the literature of Breus' mole.
authors.affiliation: Etlik Ankara Maternity Hospital, Ankara, Etlik/Turkey. muberrakocak@mynet.com
authors.forename: Muberra
authors.initials: M
authors.lastname: Koçak
authors.forename: Omer
authors.initials: O
authors.lastname: Kandemir
authors.forename: Serdar
authors.initials: S
authors.lastname: Sen
authors.forename: Bahar
authors.initials: B
authors.lastname: Başkan
authors.forename: Omer Faruk
authors.initials: OF
authors.lastname: Demir
mesh_terms: D000037:Abruptio Placentae / Q000175:diagnosis* / Q000000981:diagnostic imaging; D000328:Adult; D005260:Female; D005865:Gestational Age; D006406:Hematoma / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D007752:Obstetric Labor, Premature; D010922:Placenta Diseases / Q000175:diagnosis / Q000000981:diagnostic imaging; D011247:Pregnancy; D035583:Rare Diseases; D012307:Risk Factors; D014463:Ultrasonography