CHORIOANGIOMAS OF THE PLACENTA
DOI:
https://doi.org/10.11603/24116-4944.2018.1.8744Keywords:
placenta, chorioangioma, pregnancy.Abstract
The aim of the study – to learn the peculiarities of pregnancy course and its results in a patient with placenta chorioangioma.
Materials and Methods. A case of pregnancy, childbirth, perinatal result in a patient with placenta chorioangioma is given. Complex clinical and laboratory examination, ultrasound examination, colored Doppler mapping, pathoanatomical research of the placenta have been done.
Results and Discussion. The clinical case of pregnancy in a patient with placenta chorioangioma is presented. For the first time the volumetric formation of the placenta was diagnosed in a 30-week period. During the dynamic observation increasing in the size of the formation was detected, the formation with a hyperechogenic capsule and explicit blood flow, corresponds for the echographic criteria of the chorioangiomas of the placenta. The condition of the fetus during the observation is immutable. Labor was occurred in the period of 41 weeks and 2 days. In the early neonatal period the violations of the child's condition were not detected, clinical and laboratory parameters were within the normal range. By visual inspection of the placenta in the central department of the fetal surface, the volumetric formation of 55x55 mm, elastic consistency, separated from the surrounding tissues was detected. The pathologist examination of the placenta confirmed the diagnosis of placenta’s chorioangioma.
Conclusions. The main in diagnosing and determining the tactics of pregnancy with chorioangiomas of the placenta is ultrasound. The dynamic ultrasound observation with using high resolution equipment makes it possible to detect a tumor of the placenta, predict its histological type, timely determine the size of the tumor and violation the conditions of the fetus for timely solution the issue of the term and the method of labor to prevent perinatal loss.
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