Prenatal management and perinatal outcome in giant placental chorioangioma complicated with hydrops fetalis, fetal anemia and maternal mirror syndrome.

Abstract

BACKGROUND:

Giant placental chorioangiomas have been associated with a number of severe fetal complications and high perinatal mortality.

CASE PRESENTATION:

We report a case of giant chorioangioma with fetal hydrops, additionally complicated by severe anemia, mild cardiomegaly with hyperdinamic heart circulation and maternal mirror syndrome. Intrauterine blood transfusion and amniodrainage was performed at 29 weeks. Worsening of the fetal and maternal condition prompted us to proceed with delivery at 29 + 5 weeks. The newborn died 3 hours later due to pulmonary hypoplasia and hemodynamic failure. Maternal course was favourable, mirror syndrome resolved in the second day and the patient was discharged four days following delivery.

CONCLUSIONS:

In the case described here, fetal condition got worse despite of the anemia correction and amniodrainage. Our outcome raises the issue whether additional intrauterine clinical intervention, as intersticial laser, should have been performed to stop further deterioration of the fetal condition when progressive severe hydrops develops.

• Authors: Lutgardo García-Díaz, Práxedes Carreto, Susana Costa-Pereira, Guillermo Antiñolo
• Journal: BMC pregnancy and childbirth (BMC Pregnancy Childbirth) Vol. 12 Pg. 72 (Jul 28 2012) ISSN: 1471-2393 [Electronic] England
• PMID: 22840187 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Anemia (complications, therapy)
• Blood Transfusion, Intrauterine
• Cardiomegaly (complications, diagnostic imaging)
• Cesarean Section
• Edema
• Female
• Fetal Diseases (diagnostic imaging, therapy)
• Hemangioma (complications, pathology)
• Hepatic Insufficiency
• Humans
• Hydrops Fetalis (diagnostic imaging)
• Hypokalemia
• Hypoproteinemia
• Oliguria
• Placenta Diseases (diagnostic imaging, pathology)
• Pregnancy
• Pregnancy Complications, Neoplastic (diagnostic imaging, pathology)
• Syndrome
• Ultrasonography, Prenatal