Giant placental chorioangioma: a rare cause of fetal hydrops.
Giant choriangiomas are rare placental tumours, associated with a high prevalence of pregnancy complications and a poor perinatal outcome. Neonatal consequences include severe microangiopathic haemolytic anaemia, thrombocytopaenia and hydrops. The associated high perinatal death rate (30-40%) has led to a number of prenatal therapeutic interventions with limited success in most cases. The authors present a case of non-immune fetal hydrops caused by a giant chorioangioma, diagnosed at 27 weeks of gestational age. Despite tocolytic therapy, the baby was born prematurely (28 weeks of gestational age) and required transfusion of blood derivatives, intensive phototherapy and exchange transfusion. She had an uncomplicated recovery and was discharged home in the second month of life. The authors emphasise the need to consider chorioangioma as a cause of non-immune fetal hydrops and microangiopathic haemolytic anaemia.
Department of Pediatrics, Funchal Central Hospital, Funchal, Portugal. asofiabarros@gmail.com
Andreia
A
Barros
Ana Cristina
AC
Freitas
António Jorge
AJ
Cabral
Maria Carmo
MC
Camacho
Edite
E
Costa
Henrique
H
Leitão
José Luis
JL
Nunes
D005260:Female; D006391:Hemangioma / Q000150:complications / Q000000981:diagnostic imaging*; D006801:Humans; D015160:Hydrops Fetalis / Q000000981:diagnostic imaging / Q000209:etiology*; D007231:Infant, Newborn; D010922:Placenta Diseases / Q000000981:diagnostic imaging*; D011247:Pregnancy; D018615:Ultrasonography, Doppler, Color; D016216:Ultrasonography, Prenatal