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Massive pre-placental and subchorionic haematoma
1Division of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore. kelly_loi@hotmail.com
Singapore Medical Journal
|December 2, 2006
Summary
This case study details a rare instance of large pre-placental and subchorionic hematomas in a pregnant patient, leading to severe antepartum hemorrhage and emergency delivery. Both mother and child had favorable outcomes.
Area of Science:
- Obstetrics and Gynecology
- Maternal-Fetal Medicine
- Radiology
Background:
- Antepartum hemorrhage (APH) poses significant risks during pregnancy.
- Subchorionic and pre-placental hematomas are potential causes of APH.
- Unusual presentations necessitate thorough case reporting and literature review.
Observation:
- A 26-year-old woman presented with APH at 24 weeks gestation.
- Ultrasonography revealed a 5.0 cm subchorionic hematoma and a 4.3 cm pre-placental hematoma.
- The subchorionic hematoma decreased in size, while the pre-placental hematoma grew to 9.3 cm by 32 weeks.
Findings:
- The pre-placental hematoma continued to enlarge throughout the second and third trimesters.
- The patient experienced premature rupture of membranes at 32 weeks.
- Severe APH necessitated an emergency cesarean section at 32 weeks gestation.
Implications:
- Massive hematomas can lead to severe obstetric complications, including APH and preterm birth.
- Close monitoring and timely intervention are crucial in managing such cases.
- This case contributes to understanding the clinical course and management of rare placental hematomas.
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