Year :
2021
| Month :
March
| Volume :
15
| Issue :
3
| Page :
QD01 - QD03
Full Version
Vanishing Non-immune Hydrops in
Giant Chorioangioma of Placenta
Published: March 1, 2021 | DOI: https://doi.org/10.7860/JCDR/2021/46769.14583
Sunita Dubey, Aayushi Kaushal, HN Pavithra
1. Assistant Professor, Department of Obstetrics and Gynaecology, Government Medical College and Hospital, Sector 32, Chandigarh, India.
2. Senior Resident, Department of Obstetrics and Gynaecology, Government Medical College and Hospital, Sector 32, Chandigarh, India.
3. Demonstrator, Department of Pathology, Government Medical College and Hospital, Sector 32, Chandigarh, India.
Correspondence Address :
Aayushi Kaushal,
JK Hospital, Palm City, Attewali, Near Mata Sundri School, Fatehgarh Sahib,
District Fatehgarh Sahib, Punjab, India.
E-mail: kaushalaayushi@gmail.com
Abstract
Giant Chorioangioma of placenta is a rare nontrophoblastic tumour of placenta. It may lead to various maternal and foetal complications like massive antepartum haemorrhage, sudden intrauterine foetal demise and non-immune hydrops, although in few cases mother and the foetus remain unaffected. This report is of a 35-year-old G3P1L1A1, presented to hospital at 32 weeks gestation with pain abdomen followed by watery discharge from vagina. Ultrasonography at 30 weeks revealed a huge mass on anterior wall with placenta on posterior wall of uterus although her previous antenatal sonography did not reveal any abnormality either in the foetus or in placenta. Diagnosis of preterm rupture of membranes was confirmed. Hence, she was kept on conservative management; received antibiotics and steroids for foetal lung maturity. Subsequently, the foetus developed mild, steady non-immune hydrops probably due to high output cardiac failure as Values of Middle Cerebral Artery’s Peak Systolic Velocity (MCA-PSV) were within normal limits. Biophysical profile and nonstress test were normal. Guarded foetal prognosis was given due to non-immune hydrops but she delivered a normal female baby with good Appearance, Pulse, Grimace, Activity and Respiration (APGAR) score with huge chorioangioma of placenta. Although rare, chorioangiomas of placenta should be kept in differential diagnosis of non-immune hydrops that needs regular foetal surveillance and timely intervention in affected foetuses to increase survival after birth.
Keywords
Nontrophoblastic tumour of placenta, Polyhydramnios, Preterm labour, Preterm rupture of membranes
DOI: 10.7860/JCDR/2021/46769.14583
Date of Submission: Nov 15, 2020
Date of Peer Review: Jan 01, 2021
Date of Acceptance: Jan 09, 2021
Date of Publishing: Mar 01, 2021
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Nov 17, 2020
• Manual Googling: Jan 09, 2021
• iThenticate Software: Jan 23, 2021 (5%)
ETYMOLOGY: Author Origin
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