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巨大胎盘绒毛膜血管瘤导致新生儿和婴儿期血管畸形循环衰竭:病例报告。

Giant placental chorioangioma followed by circulatory failure of the newborn and infantile hemangioma: Case report.

机构信息

Department of Pediatrics, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan.

出版信息

J Neonatal Perinatal Med. 2020;13(1):135-138. doi: 10.3233/NPM-180118.

Abstract

Placental chorioangioma (CA) is a benign placental tumor. No specific treatment is required for asymptomatic cases. We report a female infant born to a mother with giant placental CA. However fetal growth was normal and, fetal hydrops was not detected by ultrasound examination until delivery, she had hydrops, subgaleal hematoma, thrombocytopenia, hemolytic anemia, respiratory distress and circulatory failure after birth. She was successfully treated without any neurological sequelae. At 2 months of age, infantile hemangioma appeared in her lower lip. The present case suggested that giant placental CA might cause postnatal problems and be associated with the development of infantile hemangioma.

摘要

胎盘绒毛膜血管瘤(CA)是一种良性胎盘肿瘤。对于无症状的病例,不需要特定的治疗。我们报告了一例母亲患有巨大胎盘 CA 的女性婴儿。然而,胎儿生长正常,直到分娩时超声检查才发现胎儿水肿,她出生后出现水肿、帽状腱膜下血肿、血小板减少、溶血性贫血、呼吸窘迫和循环衰竭。她在没有任何神经后遗症的情况下成功治疗。出生后 2 个月,婴儿下唇出现婴儿血管瘤。本病例提示巨大胎盘 CA 可能导致产后问题,并与婴儿血管瘤的发展有关。

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