Placental chorioangioma presenting prenatal hemolytic anemia and consumption coagulopathy: a case report: A Case Report

Reiko Inoue, Yasuo Yumoto, Yasuyuki Fujita, Masayuki Ochiai, Kotaro Fukushima, Kiyoko Kato

研究成果: ジャーナルへの寄稿記事

抄録

Large placental chorioangioma is a rare but serious complication of pregnancy. To our knowledge, this case is the first reported diagnosis of consumption coagulopathy in a fetus using fetal blood sampling (FBS) during pregnancy complicated by placental chorioangioma. A 25-year-old woman, primigravida, was referred to our hospital at 29 weeks of gestation for placental chorioangioma. At 34+1 gestation, polyhydramnios and hyperdynamic circulation were observed in the fetus. FBS demonstrated microangiopathic hemolytic anemia and the presence of consumption coagulopathy. Cesarean section was performed at 34+4 gestation because fetal maturation was expected. A female infant weighing 2158 g was born, with Apgar scores of 6 and 8 at 1 and 5 min, respectively. Neonatal blood sampling results were similar to those of FBS. The infant was treated for hyperdynamic cardiac function, hemolytic anemia, and consumption coagulopathy on mechanical ventilation in the neonatal intensive care unit and recovered fully. When fetal anemia is suspected in a case of large placental chorioangioma, the possibility of developing consumption coagulopathy during the fetal period should be considered.
元の言語英語
ジャーナルCase Reports in Perinatal Medicine
4
発行部数2
出版物ステータス出版済み - 9 2015

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Disseminated Intravascular Coagulation
Hemolytic Anemia
Hemangioma
Fetal Blood
Pregnancy
Fetus
Polyhydramnios
Apgar Score
Pregnancy Complications
Neonatal Intensive Care Units
Artificial Respiration
Cesarean Section
Anemia

これを引用

Placental chorioangioma presenting prenatal hemolytic anemia and consumption coagulopathy: a case report : A Case Report . / Inoue, Reiko; Yumoto, Yasuo; Fujita, Yasuyuki; Ochiai, Masayuki; Fukushima, Kotaro; Kato, Kiyoko.

:: Case Reports in Perinatal Medicine, 巻 4, 番号 2, 09.2015.

研究成果: ジャーナルへの寄稿記事

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AU - Kato, Kiyoko

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