Fetomaternal hemorrhage with intraplacental chorioangioma.

Abstract

A 37-year-old Asian woman, gravid 0 para 0, was admitted to our hospital at 34 weeks and 5 days of her pregnancy for management of preeclampsia. A few days after admission, she recognized diminished fetal movement, and a non-stress test revealed a non-reassuring fetal heart rate pattern with decreased variability. A female baby weighing 1840 g was delivered by emergency cesarean section with Apgar scores of 5 and 5 at 1 and 5 min, respectively. Significant neonatal anemia with a hemoglobin level of 4.3 g/dL was observed. The elevated level of hemoglobin F (HbF) in the maternal blood accounted for 4.6% (normal≦0.5%), and was indicative of the presence of fetomaternal hemorrhage (FMH). Microscopic examination of the placenta revealed chorioangioma. We report here a rare case of FMH with intraplacental chorioangioma, and discuss the relationship between these two pathologies.

• Authors: Ryosuke Kawano, Shuji Takemoto, Kazuhide Shimamatsu, Daizo Hori, Toshiharu Kamura
• Journal: The journal of obstetrics and gynaecology research (J Obstet Gynaecol Res) Vol. 39 Issue 2 Pg. 583-7 (Feb 2013) ISSN: 1447-0756 [Electronic] Australia
• PMID: 22925543 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology.

Topics

• Adult
• Female
• Fetomaternal Transfusion (etiology, therapy)
• Hemangioma (pathology, physiopathology)
• Humans
• Infant, Newborn
• Live Birth
• Placenta Diseases (pathology, physiopathology)
• Pre-Eclampsia (etiology)
• Pregnancy
• Treatment Outcome