Huge placental myxoid chorangioma presenting with severe antepartum hemorrhage.
A 2nd gravida presented at 27 weeks with antepartum hemorrhage. Ultrasound showed a single live fetus (parameters approximately 23 weeks) and a huge placenta with multiple cystic areas extending into the lower uterine segment; some of which showed increased vascularity on colored doppler. A diagnosis of low lying placenta with a possibility of chorangioma or a partial mole was made. The next bout of antepartum hemorrhage was severe necessitating an emergency cesarean. Histopathology of the placenta (weighing 2240 grams) revealed a myxoid chorangioma. All features in this woman are uncommonly reported in literature (large size, myxoid degeneration and severe antepartum hemorrhage necessitating a cesarean).
Postgraduate Institute of Medical Education & Research, Sector 12, Chandigarh - 160012, India. rashmibagga@gmail.com
R
R
Bagga
V
V
Suri
R
R
Srinivasan
S
S
Chadha
S
S
Chopra
N
N
Gupta
D000328:Adult; D002585:Cesarean Section; D004638:Emergency Treatment; D005260:Female; D006391:Hemangioma / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D009232:Myxoma / Q000150:complications / Q000175:diagnosis*; D007744:Obstetric Labor Complications; D010920:Placenta; D010922:Placenta Diseases / Q000175:diagnosis / Q000209:etiology*; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D014592:Uterine Hemorrhage / Q000175:diagnosis / Q000209:etiology*