Huge placental myxoid chorangioma presenting with severe antepartum hemorrhage

JNMA J Nepal Med Assoc. 2006 Oct-Dec;45(164):366-9.

Abstract

A 2nd gravida presented at 27 weeks with antepartum hemorrhage. Ultrasound showed a single live fetus (parameters approximately 23 weeks) and a huge placenta with multiple cystic areas extending into the lower uterine segment; some of which showed increased vascularity on colored doppler. A diagnosis of low lying placenta with a possibility of chorangioma or a partial mole was made. The next bout of antepartum hemorrhage was severe necessitating an emergency cesarean. Histopathology of the placenta (weighing 2240 grams) revealed a myxoid chorangioma. All features in this woman are uncommonly reported in literature (large size, myxoid degeneration and severe antepartum hemorrhage necessitating a cesarean).

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cesarean Section
  • Emergency Treatment
  • Female
  • Hemangioma / complications
  • Hemangioma / diagnosis*
  • Humans
  • Myxoma / complications
  • Myxoma / diagnosis*
  • Obstetric Labor Complications
  • Placenta Diseases / diagnosis
  • Placenta Diseases / etiology*
  • Placenta*
  • Pregnancy
  • Pregnancy Trimester, Third
  • Uterine Hemorrhage / diagnosis
  • Uterine Hemorrhage / etiology*