Giant Placental Chorioangioma with Severe Polyhydramnios and Foetal Anaemia- A Case Report
Published: November 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/42618.13323
Harpreet Kour Isher, Mandeep Singh
1. Fellow Maternal Fetal Medicine, Department of Obstetrics Gynaecology, AIIMS, New Dehi, India.
2. Clinical Director, Department of Obstetrics Gynaecology, Southend University Hospital NHS Foundation Trust, Southend on Sea, Essex, United Kingdom.
Correspondence
Dr. Harpreet Kour Isher,
House No. 1874, Sector 34-D, Chandigarh, India.
E-mail: harpreetsukhija1@yahoo.com
Giant placental chorioangioma is a rare, benign, vascular hamartoma of the placenta of >4-5 cm in size, since size beyond this range is associated with adverse perinatal outcome. This is a case of giant placental chorioangioma with severe polyhydramnios and foetal anemia. Serial ultrasound surveillance was able to detect foetal anemia due to the arteriovenous shunt in the chorioangioma. Severe polyhydramnios was managed with repeated amnioreduction to relieve the mother. A non-reassuring cardiotocography and suspicion of placental abruption following the last amnioreduction led to an emergency caesarean. Perinatal morbidity was increased due to severe foetal anemia, coagulopathy and prematurity which was successfully managed.
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