Nadir Görülen Komplikasyonsuz Dev Plasental Koryoanjioma: Olgu Sunumu

Öz

Öz:

Koryoanjioma plasentanın en sık görülen benign tümörüdür. Koryonik dokudan köken alır ve prevalansı yaklaşık olarak  %1’dir. Koryonajiomalar, özellikle büyük hacimli olanlar, sıklıkla polihidramnios, antepartum hemoraji, erken membran rüptürü,  prematür doğum, gebelik toksemisi, hidrops fetalis ve intrauterin fetal ölüm, düşük doğum ağırlığı, kardiyomegali, kalp yetmezliği, anemi, trombositopeni ve konjenital anomaliler gibi birçok maternal/fetal komplikasyonla ilişkilidir. Burada  dev plasental koryoanjioma ile komplike başarılı sonuçları olan bir gebeliği sunduk. Bu vakanın dev bir koryoanjioması olmasına rağmen alışılmadık şekilde antenatal takipleri olaysız ve gebeliği başarılı bir şekilde sonuçlandı.

Anahtar kelimeler: Plasenta, Koryoanjioma, Gebelik

 

 

Anahtar Kelimeler

• Plasenta,Koryoanjioma,Gebelik

Rare Voluminous Placental Chorioangioma Without Complication: Case Report

Öz

Abstract:

Chorangioma is most common benign neoplasm of the placenta. It arise from chorionic tissue and prevalance is aproximatelly 1%. Chorangiomas, especially voluminous ones is frequently associated with maternal/fetal complications including polyhydramnios, antepartum haemorrahage, premature separation of membranes, premature labour, toxaemia of pregnancy, hydrops fetalis, intrauterine death, low birth weight, cardiomegaly, cardiac failure, anaemia, thrombocytopenia and unsuspected congenital anomalies. The successful outcome of a pregnancy complicated by a voluminous chorangioma is reported herein. This case had an unusually uneventful antenatal period for 39 weeks with a successful pregnancy outcome, despite having a voluminous chorangioma.

Anahtar Kelimeler

• Placenta,Chorioangioma,Pregnancy

Kaynakça

1. 1. Fox H. Pathology of Placenta, 2nd ed. Philadelphia: W.B. Saunders; 1997.
2. 2. Jauniaux E, and R Ogle. "Color Doppler imaging in the diagnosis and management of chorioangiomas." Ultrasound in obstetrics & gynecology 2000;15(6):463-467.
3. 3. Shafqat Gulnaz, Farah Iqbal, and Farhan Rizvi. "Chorioangioma of the placenta with hydrops foetalis." Journal of the Pakistan Medical Association 2009;59(6):411.
4. 4.Wallenburg HCS. Chorioangioma of the placenta-review. Obstetrical and Gynecological Survey. 1971; 26: 411-425.
5. 5. Al Wattar BH, Hillman SC, Marton T, Foster K, Kilby MD. Placenta chorioangioma: a rare case and systematic review of literature. J Matern Fetal Neonatal Med. 2014 Jul;27(10):1055-63. doi: 10.3109/14767058.2013.847424. Review.PMID: 24460422.
6. 6. Mendez‐Figueroa, Hector, et al. "Endoscopic laser coagulation following amnioreduction for the management of a large placental chorioangioma." Prenatal diagnosis 2009;29(13):1277-1278.
7. 7. Bracero Luis A, Marianna Davidian, and Sharon Cassidy. "Chorioangioma: diffuse angiomatous form." Sonoworld; 1993:09-18.
8. 8. Zalel Y, Weisz B, Gamzu R, Schiff E, Shalmon B, & Achiron R. Chorioangiomas of the placenta sonographic and Doppler flow characteristics. Journal of ultrasound in Medicine, 2002;21(8):909-913.

9. 9. Wanapirak C, Tongsong T, Sirichotiyakul S, & Chanprapaph P. Alcoholization: the choice of intrauterine treatment for chorioangioma. Journal of obstetrics and gynaecology research, 2002;28(2):71-75.
10. 10. Quintero RA, Reich H, Romero R, Johnson MP, Goncalves L, & Evans, M. In utero endoscopic devascularization of a large chorioangioma. Ultrasound in obstetrics and Gynecology. 1996;8(1):48-52.