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一例罕见的胎盘绒毛膜血管瘤与宫内死亡病例:对恰当产前护理及及时诊断的启示

An unusual case of placental chorangioma and intrauterine death: Implications for proper antenatal care and prompt diagnosis.

作者信息

Devarakonda Kranti Kiran, Kuchana Sai Kiran, Chinthakindi Sai Thrinath, Suvvari Tarun Kumar, Thomas Vimal

机构信息

Department of Pathology, Kakatiya Medical College, Warangal, Telangana, India.

Rangaraya Medical College, Kakinada, Andhra Pradesh, India.

出版信息

SAGE Open Med Case Rep. 2023 Sep 6;11:2050313X231198392. doi: 10.1177/2050313X231198392. eCollection 2023.

Abstract

We present an unusual case of placental chorangioma in a 32-year-old female with poor antenatal care. Abdominopelvic ultrasound revealed polyhydramnios with no fetal cardiac activity and suspected placental cyst. An emergency caesarean was performed, and she had still birth of male baby. The cut specimen of the placenta revealed a well-circumscribed marginal mass of 4 cm. Our case emphasizes the importance of regular antenatal screening for early detection of placental abnormalities. While chorangiomas are rare, they should be considered in the differential diagnosis of placental masses. Prompt diagnosis and appropriate management are essential to reduce the maternal and fetal complications associated with chorangiomas. Histological examination of the placenta plays a vital role in differentiating chorangioma from other placental abnormalities with different clinical implications.

摘要

我们报告一例32岁产前护理不佳的女性患胎盘绒毛膜血管瘤的罕见病例。腹盆腔超声显示羊水过多,无胎儿心脏活动,并怀疑有胎盘囊肿。进行了急诊剖宫产,她产下一名死产男婴。胎盘的切除标本显示有一个边界清晰的4厘米边缘肿块。我们的病例强调了定期产前筛查对早期发现胎盘异常的重要性。虽然绒毛膜血管瘤很罕见,但在胎盘肿块的鉴别诊断中应予以考虑。及时诊断和适当处理对于减少与绒毛膜血管瘤相关的母婴并发症至关重要。胎盘的组织学检查在区分绒毛膜血管瘤与其他具有不同临床意义的胎盘异常方面起着至关重要的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28c8/10486213/6b75f77b1978/10.1177_2050313X231198392-fig1.jpg

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