Prenatal diagnosis and management of fetal anemia secondary to a large chorioangioma

Neil Hamill; Asha Rijhsinghani; Roger A Williamson; Stanley Grant

doi:10.1016/s0029-7844(03)00576-3

Prenatal diagnosis and management of fetal anemia secondary to a large chorioangioma

Obstet Gynecol. 2003 Nov;102(5 Pt 2):1185-8. doi: 10.1016/s0029-7844(03)00576-3.

Authors

Neil Hamill¹, Asha Rijhsinghani, Roger A Williamson, Stanley Grant

Affiliation

¹ Division of Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Roy J. and Lucille A. Carver College of Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.

PMID: 14607051
DOI: 10.1016/s0029-7844(03)00576-3

Abstract

Background: Chorioangiomas are benign vascular tumors of the placenta. Complications occur when their size exceeds 5 cm.

Case: We report the use of peak systolic velocity in the middle cerebral artery, fetal hemoglobin levels in maternal circulation, and maternal serum alpha-fetoprotein levels in the diagnosis and management of fetal anemia in a patient with a large placental chorioangioma.

Conclusion: Fetal hemoglobin levels in maternal circulation and abrupt elevations of middle cerebral artery peak velocity may be useful in detecting fetal anemia.

Publication types

Case Reports

MeSH terms

Adult
Anemia / diagnosis*
Anemia / etiology
Anemia / therapy
Blood Flow Velocity
Female
Fetal Diseases / diagnosis*
Fetal Diseases / etiology
Fetal Diseases / therapy
Fetal Hemoglobin / analysis
Hemangioma / complications*
Hemangioma / diagnosis
Humans
Middle Cerebral Artery / diagnostic imaging
Placenta Diseases / complications*
Placenta Diseases / diagnosis
Pregnancy
Pregnancy Complications, Neoplastic* / diagnosis
Prenatal Diagnosis*
Ultrasonography, Doppler
alpha-Fetoproteins / analysis

Substances

alpha-Fetoproteins
Fetal Hemoglobin