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Rare disease
CASE REPORT
Placental chorioangioma associated with polyhydramnios and hydrops fetalis
  1. Charlotte Willis1,
  2. Siobhan Ferguson2 and
  3. Fatimah Soydemir2
  1. 1 Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK
  2. 2 Women’s Health, Royal Preston Hospital, Preston, UK
  1. Correspondence to Miss Charlotte Willis, charlotte.willis{at}student.manchester.ac.uk

Abstract

A 27-year-old multigravida woman was noted on routine growth scan at 27 weeks gestation to have a central placental hypoechoic area measuring 6.7×6.0×4.4 cm. A subsequent magnetic resonance scan confirmed a solid mass in the placenta lying anteriorly; therefore, a preliminary diagnosis of giant placental chorioangioma was made. A repeat ultrasound scan at 30 weeks gestation indicated that the mass had increased, with the presence of polyhydramnios. The patient experienced reduced fetal movements at 31 weeks gestation. There was persistent fetal tachycardia at 33 weeks gestation, and consequently the neonate was delivered by emergency caesarean section. The placenta revealed a large chorioangioma. The neonate’s birth weight was 2.85 kg and non-immune hydrops fetalis was diagnosed. The neonate improved significantly in the neonatal intensive care unit and is currently well with no medical problems.

  • obstetrics
  • gynaecology and fertility
  • pregnancy

https://doi.org/10.1136/bcr-2018-227828

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    Footnotes

    • Patient consent for publication Obtained.

    • Contributors CW (fifth year medical student) searched the patient’s records, collected the case information and wrote the case report article under the supervision of SF and FS. FS and SF were involved in the care of the patient.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.