[Fetomaternal hemorrhage caused by intraplacental choriocarcinoma].
A male infant was born at 41 weeks' gestation to a 34-year-old primiparous woman after an uneventful pregnancy. Physical examination showed extreme paleness. Fetal hemoglobin was 7.6g/dl and Kleihauher exam revealed fetomaternal hemorrhage. Pathology revealed in situ intraplacental choriocarcinoma. Serum human chorionic gonadotrophin level was undetectable 1 month after the delivery both in woman and in newborn. We suggest that a pathological examination of the placenta should be performed in any case of fetomaternal hemorrhage in order to avoid misdiagnosis of intraplacental choriocarcinoma.
Touboul
C
C
UMR-S0782, service de gynécologie-obstétrique, hôpital Antoine-Béclère, université Paris-Sud, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France.
Faivre
E
E
Boithias
C
C
Mass
A-E
AE
Senat
M-V
MV
Fernandez
H
H
Deffieux
X
X
D000328:Adult; D002822:Choriocarcinoma / Q000150:complications* / Q000473:pathology; D006063:Chorionic Gonadotropin / Q000097:blood; D005260:Female; D005331:Fetomaternal Transfusion / Q000209:etiology*; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010920:Placenta / Q000473:pathology; D011247:Pregnancy; D014592:Uterine Hemorrhage / Q000150:complications* / Q000473:pathology
D006063:Chorionic Gonadotropin