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DOI: 10.1055/a-0903-3034
Chorioangiom der Plazenta – eine seltene Ursache fetaler High-Output-Herzinsuffizienz
Chorangioma of the Placenta – A Rare Placental Cause of Fetal High Output Cardiac FailurePublication History
eingereicht18 January 2019
angenommen nach Überarbeitung 23 April 2019
Publication Date:
26 September 2019 (online)
Zusammenfassung
Plazentare Chorangiome sind als benigne Tumore des Choriongewebes seltene Ursache fetaler und maternaler Morbidität. Wir beschreiben den Fall eines großen plazentaren Chorangioms, das zu einem Polyhydramnion, konsekutiver Frühgeburt und kindlicher High-Output-Herzinsuffizienz führte. Aus einer Literaturrecherche leiten wir zudem Hinweise zur Diagnostik und Empfehlungen zur optimalen Schwangerschaftsbetreuung bei Verdacht auf Chorioangiom ab.
Abstract
Chorangiomas of the placenta, benign tumors of chorionic tissue, are a rare placental cause of adverse fetal and maternal outcomes. We describe the case of a large placental chorangioma leading to polyhydramnios as well as consecutive preterm birth and high output cardiac failure of the newborn. Derived from a literature review, we suggest instructions for diagnosis and optimal prenatal care in case of a a suspected placental chorangioma.
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Literatur
- 1 Kuhnel P. Placental chorioangioma. Acta Obstet Gynecol Scand 1933; 13: 143-145
- 2 Guschmann M, Henrich W, Entezami M. et al. Chorioangioma – new insights into a well-known problem I. Results of clinical and morphological study of 136 cases. J Perinat Med 2003; 31: 163-169
- 3 Ogino S, Redline RW. Villous capillary lesions of the placenta: distinctions between chorioangioma, chorangiomatosis, and chorangiosis. Human Pathol 2000; 31: 945-954
- 4 Marchetti A. A consideration of certain types of benign tumors of the placenta. Surg Gynecol Obstet 1939; 68: 733-743
- 5 Kotz J, Kaufmann MS. Chorioangioma of the placenta. Med Ann District Columbia 1939; 8: 106-110
- 6 Hadi H, Finley J, Strickland D. Placental chorioangioma: Prenatal diagnosis and clinical significance. Am J Perinatol 1993; 10: 146-149
- 7 Wehrens XH, Offermans JP, Snijders M. et al. Fetal cardiovascular response to large placental chorioangiomas. J Perinat Med 2004; 32: 107-112
- 8 Bromley B, Benacerraf BR. Solid masses on the fetal surface of the placenta: differential diagnosis and clinical outcome. J Ultrasound Med 1994; 13: 883-886
- 9 Amer HZ, Heller DS. Chorioangioma and related vascular lesions on the placenta – a review. Fetal Pediatr Pathol 2010; 29: 199-206
- 10 Sepulveda W, Aviles G, Carstens E. et al. Prenatal diagnosis of solid placental masses: the value of color flow imaging. Ultrasound Obstet Gynecol 2000; 16: 554-558
- 11 Mochizuki T, Nishiguchi T, Ito I. et al. Case report of antenatal diagnosis of chorioangioma of the placenta: MR features. J Comput Assist Tomogr 1996; 20: 413-416
- 12 Quintero RA, Reich H, Romero R. et al. In utero endoscopic devascularization of a large chorioangioma. Ultrasound Obstet Gynecol 1996; 8: 48-52
- 13 Zalel Y, Weisz B, Gamzu R. et al. Chorioangiomas of the placenta: sonographic and doppler flow characteristics. J Ultrasound Med 2002; 21: 909-913
- 14 Fan M, Skupski DW. Placental chorioangioma: literature review. J Perinat Med 2014; 42: 273-279