Giant placental chorioangioma discovered at 29 weeks’ gestation: a case report

Fatimazahra Cherrabi; Mounir Moukit; Jaouad Kouach; Driss Moussaoui Rahali; Mohammed Dehayni

doi:10.18203/2320-1770.ijrcog20175871

Authors

Fatimazahra Cherrabi Department of Obstetrics and Gynecology, Military Training Hospital Mohammed V, Rabat, Morocco
Mounir Moukit Department of Obstetrics and Gynecology, Military Training Hospital Mohammed V, Rabat, Morocco
Jaouad Kouach Department of Obstetrics and Gynecology, Military Training Hospital Mohammed V, Rabat, Morocco Department of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
Driss Moussaoui Rahali Department of Obstetrics and Gynecology, Military Training Hospital Mohammed V, Rabat, Morocco Department of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco
Mohammed Dehayni Department of Medicine and Pharmacy, University Mohammed V, Rabat, Morocco Department of Visceral Surgery and Obstetrics and Gynecology, Military Training Hospital Mohammed V, Rabat, Morocco

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20175871

Keywords:

Feto-maternal outcome, Giant chorioangioma, Placenta, Ultrasound

Abstract

Chorioangiomas are the commonest non-trophoblastic tumors of placenta with an estimated incidence of 1%. The majority of them are small, asymptomatic and only found by careful pathologic examination of the placenta. Occasionally, they can attain a large diameter (≥ 4-5cm) resulting in what is termed ‘giant chorioangioma’ with a high feto-maternal morbidity and mortality rates. We report a case of giant chorioangioma discovered accidentally during a routine obstetric ultrasound. Expectant management was adopted. Ultrasound follow-up revealed several fetal complications; an elective caesarean section was made giving birth to a premature new-born with enormous hepatosplenomegaly, died on the first day of life. Diagnosis and management of chorioangioma represents a stringent challenge for obstetricians due to its potentially serious antenatal complications.

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