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Huge placental myxoid chorangioma presenting with severe antepartum hemorrhage

R Bagga1, V Suri, R Srinivasan

  • 1Postgraduate Institute of Medical Education & Research, Sector 12, Chandigarh - 160012, India. rashmibagga@gmail.com

JNMA; Journal of the Nepal Medical Association
|August 7, 2007
PubMed

A 2nd gravida presented at 27 weeks with antepartum hemorrhage. Ultrasound showed a single live fetus (parameters approximately 23 weeks) and a huge placenta with multiple cystic areas extending into the lower uterine segment; some of which showed increased vascularity on colored doppler. A diagnosis of low lying placenta with a possibility of chorangioma or a partial mole was made. The next bout of antepartum hemorrhage was severe necessitating an emergency cesarean. Histopathology of the placenta (weighing 2240 grams) revealed a myxoid chorangioma. All features in this woman are uncommonly reported in literature (large size, myxoid degeneration and severe antepartum hemorrhage necessitating a cesarean).

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