Massive Subchorionic Hematoma (Breus' Mole) Complicated by Intrauterine Growth Retardation.

Nishida, Naoko; Suzuki, Shunji; Hamamura, Yukie; Igarashi, Kenji; Hayashi, Zuisei; Sawa, Rintaro; Yoneyama, Yoshio; Asakura, Hitoshi; Kawabata, K.; Shima, Yoshio; Shin, Sumio; Araki, Tsutomu

doi:10.1272/jnms.68.54

Cited by 21 publications

(16 citation statements)

References 9 publications

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“…On the other hand, in the remaining 7 cases, they were described as 'heterogeneous'. Massive subchorionic hematoma was also reported recently to be diagnosed prenatally by MRI [7,8; and the present case). In case 8 [7], pelvic MRI showed an iso-intense lesion, although the ultrasonographic findings were described as heterogeneous.…”

Section: Discussionsupporting

confidence: 73%

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Massive Subchorionic Hematoma: Peculiar Prenatal Images and Review of the Literature

Nishijima

Shukunami²,

Tsuyoshi³

et al. 2004

Fetal Diagn Ther

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Massive subchorionic hematoma is a localized collection of blood or hematoma in the placenta, and can result in serious obstetrical complications. The condition can be diagnosed antenatally by ultrasound. However, no reports have previously described the same condition featuring an intraplacental fluid–fluid level on imaging studies. We report a case of massive subchorionic hematoma diagnosed prenatally, and propose an additional peculiar finding detectable on both the ultrasound and magnetic resonance images: the intraplacental fluid–fluid level. We also review previously reported cases that were detected by ultrasonography.

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Section: Discussionsupporting

confidence: 73%

“…In case 8 [7], pelvic MRI showed an iso-intense lesion, although the ultrasonographic findings were described as heterogeneous. In case 9 [8], the MRI was heterogeneous but the ultrasound was homogeneous. In case 11 (the present case), the MRI was similar to that of the ultrasound.…”

Section: Discussionmentioning

confidence: 97%

Massive Subchorionic Hematoma: Peculiar Prenatal Images and Review of the Literature

Nishijima

Shukunami²,

Tsuyoshi³

et al. 2004

Fetal Diagn Ther

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“…Así se han propuesto dos mecanismos de producción del RCIU: uno debido a insuficiencia úte-roplacentaria con Doppler anormal de la AU y otro debido a que el acúmulo de sangre materna en el trombohematoma podría comprimir la placenta y/o los vasos umbilicales fetales (6). Por lo que se ha establecido que presentar un Doppler normal de la AU presumiría un buen pronóstico del THS.…”

Section: Discussionunclassified

Diagnóstico prenatal de trombohematoma subcoriónico masivo (mola de Breus)

et al. 2016

Rev. chil. obstet. ginecol.

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RESUMENEl trombohematoma subcoriónico masivo o Mola de Breus, por ser éste el autor que lo describió por primera vez en abortos, es un hematoma subcorial de al menos 1 cm de grosor que ocupa al menos, el 50% de la superficie fetal. Suele asociar una alta morbimortalidad fetal y perinatal, en forma de abortos, retraso del crecimiento intrauterino, muerte intrauterina, desprendimiento de placenta normalmente inserta y recién nacidos de bajo peso, generalmente pretérminos. Esta entidad debe diferenciarse de otros procesos que pueden asentar bajo la placa corial, hacia la superficie fetal como: corioangioma, depósitos de fibrina y trombosis del espacio intervelloso. Se han intentado postular mecanismos que pudieran causar dicha circunstancia, sin que por el momento podamos definir factores de riesgo médicos que claramente predispongan a padecer esta entidad. El objetivo de describir estos dos casos clínicos diagnosticados en 2013 es resaltar que, gracias a la sospecha ecográfica de un trombohematoma subcoriónico masivo, podemos estudiar la pieza de placenta y membranas tras la finalización de la gestación, con lo que obtendríamos así la confirmación anátomo-patológica, de otra manera esta información podría perderse.PALABRAS CLAVE: Trombohematoma subcoriónico masivo, mola de Breus, aborto tardío, retraso del crecimiento intrauterino, diagnóstico prenatal SUMMARYThe massive subchorionictrombo hematoma or Breus´s Mola, this was the author who first described it in miscarriages, is a subchorionic hematoma at least 1 cm in thickness which occupies at least 50% of the fetal surface. Usually associated with high fetal and perinatal morbidity and mortality, as miscarriages, intrauterine growth retardation, stillbirth, placental abruption and low birth weight, preterm generally. This entity should be distinguished from other processes that can seat under the chorionic plate to the fetal surface as chorioangioma, fibrin deposition and thrombosis intervillous space. They have tried to apply mechanisms that could cause such a circumstance, but for now we don't define medical risk factors that predispose clearly suffer from this entity. In order to describe these two cases diagnosed in 2013 is to emphasize that thanks to the sonographic suspicion of a massive subchorionic trombohematoma, can study the piece of placenta and membranes after the end of pregnancy, so it would provide pathologic confirmation, otherwise this information could be lost.

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“…A handful of cases addressing Breus' mole that were not predictable with regard to maternal risk factors have been reported in the literature [9][10][11] . Breus' mole' clinical presentation may be related to inherited maternal thrombosis that may resulted to concealed and self-limited placental abruption.…”

Section: Discussionmentioning

confidence: 99%

A Rare Form of Abruptio Placenta and Clinical Presentation in a Preterm Labor Case: Breus’ Mole

Koçak

Kandemir²,

Sen³

et al. 2006

Fetal Diagn Ther

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A normotensive pregnant woman who had no historical risk factors for abruption placenta and found to have Breus’ mole that indicates the pattern of single or multiple hematoma protrude above the chorionic plate was encountered. The case resembled a large fetal abdominal wall defect coexisting with a singleton live-born fetus at 27 weeks of gestational age is presented. The obstetric ultrasound showed that multiple coiled masses in the amniotic cavity, both the fetus and the placenta were normal. After two courses of tocolysis therapy, a healthy and, 1,400 g live-born infant was delivered through cesarean section due to fetal distress. Apgar scores at 1 and 5 min were 5 and 8, respectively. The infant died on postnatal day 6 due to severe respiratory distress and prematurity. This rare condition probably occurs frequently in missed abortion and the etiology is unknown, but is probably related to circulatory disturbance on maternal site. We report a rare clinical presentation and review the literature of Breus’ mole.

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Massive Subchorionic Hematoma (Breus' Mole) Complicated by Intrauterine Growth Retardation.

Cited by 21 publications

References 9 publications

Massive Subchorionic Hematoma: Peculiar Prenatal Images and Review of the Literature

Massive Subchorionic Hematoma: Peculiar Prenatal Images and Review of the Literature

Diagnóstico prenatal de trombohematoma subcoriónico masivo (mola de Breus)

A Rare Form of Abruptio Placenta and Clinical Presentation in a Preterm Labor Case: Breus’ Mole

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