Perinatal Outcome After Prenatal Diagnosis of Placental Chorioangioma

Successful Pregnancy Outcome in a Case of Large Placental Chorangioma in an Elderly Primigravida

“…[4] Maternal complications include maternal hemolysis possibly due to feto-maternal hemorrhage leaking through the tumour capillaries. [5] In the present case, the patient had polyhydramnios. The reasons postulated for genesis of polyhydramnios, include excess amniotic fluid transudate through walls of abnormal vessels of the tumour and/or mechanical obstruction of the umbilical vein by the large tumour mass.…”

“…[3] Amniodrainage for relief of polyhydramnios and intrauterine blood transfusion for fetal anemia are the modalities of treatment when these conditions complicate a pregnancy with placental chorangioma. [5] Fetoscopic devascularization i.e. suture ligation of the arterial supply of the chorangioma via operative fetoscopy has been attempted with positive outcome.…”

Large placental chorioangioma, cause for gross polyhydramnios; experience of two cases and review of literature

“…5 Sepulveda W et al concluded that placental chorioangioma is associated with an increased risk of pregnancy complications, the most common being Polyhydramnios and preterm delivery which were similar to that found in our patients. 1 Both of our cases had gross polyhydramnios with AFI>35 cms and ultimately had spontaneous preterm delivery. The pathophysiology of maternal and fetal complications is not well understood.…”

“…large chorioangioma can be associated with pregnancy complications which include hydrops fetalis, (heart failure), growth restriction (poor growth of the baby), fetal or neonatal demise and preterm birth. 1 Chorioangioma is usually treated with expectant management as majority of the tumors are asymptomatic. Small tumors are usually monitored with USG every 6-8 weeks, whereas large highly vascular tumors require serial USG examination with Doppler flow studies every 1-2 weeks as in such instances, the foetus is at risk of high output cardiac failure, hydrops and premature delivery due to polyhydramnios.…”

“…Although small tumors are asymptomatic giant chorioangiomas are responsible for maternal and fetal complications which include intrauterine fetal growth retardation, hydrops fetals, fetal anemia, polyhydramnios, pregnancy induced hypertension, preeclampsia, antepartum haemorrhage and preterm labour. 1 …”