International Journal For Multidisciplinary Research

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Chorioangioma: an Unpredictable Riddle

Author(s) Hemlata Sharma, Prakash K Mehta
Country India
Abstract Chorioangioma is a non-malignant vascular placental tumor, appears as a well-defined mass contained within the placenta or on its fetal surface. On color doppler scanning variable amount of blood flow is seen. Chorioangiomas >2 cm in diameter with arteriovenous shunting may result in fetal complications like fetal congestive heart failure, hydrops, hemolytic anemia, fetal thrombocytopenia, cardiomegaly, growth restriction and maternal complications like preeclampsia, preterm labour, placental abruption, and polyhydramnios. Prenatal intervention options are ultrasound guided laser coagulation of vessels within the tumor, fetal blood transfusions in case of fetal anemia and amnio-drainage for symptomatic polyhydramnios. Chorioangiomas >2 cm in diameter with evidence of intralesional arterial flow requires frequent biophysical testing and serial evaluation of fetal growth, cardiac function, and amniotic fluid to identify a fetus at risk and requiring early delivery to avoid increased peri natal morbidity or mortality risks. We report a case of large chorioangioma referred to us at 31+5 weeks of gestation with raised MCA PSV doppler and severe polyhydramnios. Close surveillance was done for maternal-fetal wellbeing. Counselling done for available options of treatment and conservative approach versus early delivery. The timely intervention resulted in good maternal and perinatal outcome.
Keywords Chorioangioma, Polyhydramnios, Fetal anemia, MCA- PSV doppler
Field Medical / Pharmacy
Published In Volume 6, Issue 3, May-June 2024
Published On 2024-06-30
Cite This Chorioangioma: an Unpredictable Riddle - Hemlata Sharma, Prakash K Mehta - IJFMR Volume 6, Issue 3, May-June 2024. DOI 10.36948/ijfmr.2024.v06i03.23745
DOI https://doi.org/10.36948/ijfmr.2024.v06i03.23745
Short DOI https://doi.org/gt3ndd
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