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Diffuse placental chorioangiomatosis causing multiple fetal cerebral embolism: a case report
Alessandro Ghidini1, Anna Locatelli
1Perinatalogy Services, Department of Obstetrics and Gynecology, Inova Alexandria Hospital, 4320 Seminary Road, Alexandria, VA 22304, USA. alessandro.ghidini@Inova.com
The Journal of Reproductive Medicine
|June 2, 2006
Summary
Placental chorioangiomas, benign vascular tumors, can lead to serious fetal complications like stroke. Examination of the placenta is crucial for diagnosing neonates with unexplained brain damage.
Area of Science:
- Obstetrics and Gynecology
- Fetal Medicine
- Pathology
Background:
- Placental chorioangiomas are vascular tumors with potential for severe obstetric complications.
- The impact of small chorioangiomas on fetal health is not well-established.
Observation:
- A case involving multiple small placental hemangiomas consuming 70% of placental volume.
- Embolic events in fetal cerebral circulation led to permanent brain damage.
Findings:
- The placental hemangioma was identified as the source of emboli.
- Fetal cerebral ischemic stroke can result from placental chorioangiomas.
Implications:
- Placental examination is vital for neonates with unexplained brain injury.
- Nonstress testing may be insufficient for monitoring pregnancies with placental chorioangiomas.
- Optimal management strategies for placental hemangiomas require further investigation.
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