Abstract

SARMIENTO-RODRIGUEZ, Andrés et al. Placental chorioangioma: Case report and review of the literature. Rev Colomb Obstet Ginecol [online]. 2008, vol.59, n.1, pp.57-61. ISSN 0034-7434.

Objective: reporting a case of placental chorioangioma which had been diagnosed and followed-up in our unit; later on, it presented fatal haemodynamic complications for the foetus. The literature concerning the diagnosis and therapeutic options was then reviewed. Case report: a case of placental chorioangioma, diagnosed at 20 weeks gestation, is presented; it was followed-up by using several imagenologic techniques. It developed anaemia and posterior foetal demise following a foetoscopic procedure. Discussion: chorioangioma is the most common placental tumour, being presented in as many as 1% of all pregnancies. However, corioangiomas measuring more than 4-5 cm are rare and are often associated with severe foetal complications such as anaemia, thrombocytopenia and cardiac failure. Several management options have been proposed (i.e. expectant foetal surveillance, in utero transfusion, foetal invasive procedures using foetoscopy and guided ultrasound). Conclusions: large chorioangiomas (although being infrequent) can have serious maternal and foetal complications. There is no universal agreement about the best therapeutic approach for this type of tumour.

Keywords : chorioangioma; foetal anaemia; foetoscopy; foetal surveillance.

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