CHORANGIOMA- A RARE CAUSE FOR POLYHYDRAMNIOS AND FOETAL DISTRESS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 7
Abstract
PRESENTATION OF CASE The following case report is of a female patient, G2P1L1 with gestational diabetes mellitus, polyhydramnios and foetal distress. She was taken up for caesarean section and delivered a neonate with no anomalies. Placenta was enlarged and showed a large nodule on foetal surface. Differential diagnoses were placental lesions like placental teratoma, incomplete or partial hydatidiform mole, haematoma, villous capillary lesions and chorangioma.1,2,3 The placenta delivered was sent for histopathological examination (HPE) with clinical diagnosis of chorangioma. On gross inspection, the placenta measured 15x11x6 cms along with a large, soft to firm, solitary, well circumscribed, bulging, ovoid, nodular mass measuring 11.5x7x6 cms, superficial to the placental disc on the foetal surface and weighing 982 gms (Figure-I). The attached umbilical cord measured 14 cm in length and was eccentrically inserted 6 cm from nearest margin. The placenta had complete membranes and maternal surface showed complete cotyledons. Serial cut sections through the placenta showed small areas of infarction and the mass showed soft, greyish brown to dark, red-tan solid areas along with greyish-white necrotic areas (Figure-II).
Authors and Affiliations
Rigith Babu Paul, Ashima Ashima, Roma Isaacs
Keywords
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