Unusual markedly-dilated chorionic vessels with placentomegaly.

Area of Science:

• Perinatology
• Fetal Medicine
• Obstetrics

Background:

• Placentomegaly and markedly dilated chorionic vessels are rare findings during pregnancy.
• These conditions can be associated with fetal complications, necessitating careful evaluation.

Purpose of the Study:

• To report a rare case of placentomegaly with markedly dilated chorionic vessels.
• To emphasize the importance of assessing fetal well-being and neonatal outcomes in such cases.

Main Methods:

• A case study of a 23-year-old pregnant woman at 32 weeks of gestation.
• Ultrasound examination to assess fetal growth, placental morphology, and umbilical cord.
• Postnatal evaluation of the infant for malformations, hemodynamic status, and hematological parameters.

Main Results:

• The fetus exhibited growth restriction without anomalies.
• The placenta was significantly enlarged (1416g) with numerous dilated, tortuous chorionic vessels.
• The newborn infant, weighing 1524g, showed no malformations but presented with hypotension, anemia, and disseminated intravascular coagulation (DIC), requiring blood transfusion.

Conclusions:

• Prenatal diagnosis of placentomegaly and markedly dilated chorionic vessels requires vigilant assessment.
• Close monitoring for fetal growth restriction, anemia, and disseminated intravascular coagulation (DIC) in the neonate is crucial for timely intervention.