[Fetomaternal hemorrhage caused by intraplacental choriocarcinoma].

Abstract

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.

• Authors: C Touboul, E Faivre, C Boithias, A-E Mass, M-V Senat, H Fernandez, X Deffieux
• Journal: Journal de gynecologie, obstetrique et biologie de la reproduction (J Gynecol Obstet Biol Reprod (Paris)) Vol. 39 Issue 2 Pg. 156-8 (Apr 2010) ISSN: 1773-0430 [Electronic] France
• Vernacular Title: Hémorragie foetomaternelle sur choriocarcinome placentaire.
• PMID: 20074866 (Publication Type: Case Reports, English Abstract, Journal Article)
• Copyright: (c) 2009 Elsevier Masson SAS. All rights reserved.

Chemical References

• Chorionic Gonadotropin

Topics

• Adult
• Choriocarcinoma (complications, pathology)
• Chorionic Gonadotropin (blood)
• Female
• Fetomaternal Transfusion (etiology)
• Gestational Age
• Humans
• Infant, Newborn
• Male
• Placenta (pathology)
• Pregnancy
• Uterine Hemorrhage (complications, pathology)