Teenage Pregnancy with Chorioangioma: A Case Report with a Review on the Recent Trends on its Diagnosis and Management
DOI:
https://doi.org/10.31907/2309-4400.2020.08.02Keywords:
Choriongiomas, tumors, fetal medicine unit, complications, interventions.Abstract
Placental Chorioangiomas are rare placental tumors. They are often not diagnosed until delivery or till the onset of complications. A review of the literature reveals a wide spectrum of the presenting features and its associated complications. Usually, large tumors are associated with maternal and fetal complications. Recent advances in the diagnosis and management of these tumors have been worthwhile in cases associated with complications. Current advances in the management of large Chorioangiomas are noteworthy in cases of extreme prematurity as the timing of delivery is a challenge in such scenarios. However, the timing of delivery has to be individualized. Due to atypical presentation and unpredictable manifestations of Chorioangiomas, prompt diagnosis and timed follow up is mandatory in all cases. Though these tumors are usually associated with increased maternal age, we report a case of teenage pregnancy with Chorioangioma and its management.
References
Amer HZ, Heller DS. Chorangioma and related vascular lesions of the placenta — a review. Fetal and Pediatric Pathology 2010; 29(4): 199-206. https://doi.org/10.3109/15513815.2010.487009
Al Wattar B, Hillman S, Marton T, Foster K, Kilby M. Placenta chorioangioma: a rare case and systematic review of literature. The Journal of Maternal-Fetal & Neonatal Medicine 2013; 27(10): 1055-1063. https://doi.org/10.3109/14767058.2013.847424
Zanardini C, Papageorghiou A, Bhide A, Thilaganathan B. Giant placental chorioangioma: natural history and pregnancy outcome. Ultrasound in Obstetrics and Gynecology 2010; 35(3): 332-336. https://doi.org/10.1002/uog.7451
Amala S, Veena N, Abdulla D, Nawal D. A Large Placental Chorioangioma with Good Perinatal Outcome. Bahrain Med Bull 2019; 41(2): 115-118.
Kirkpatrick AD, Podberesky DJ, Gray AE, et-al. Best Cases from the AFIP: Placental Chorioangioma. Radiographics 2007; 27(4): 1187-90. https://doi.org/10.1148/rg.274065207
Kodandapani S, Shreshta A, Ramkumar V, Rao L. Chorioangioma of Placenta: A Rare Placental Cause for Adverse Fetal Outcome. Case Reports in Obstetrics and Gynecology 2012; 2012: 1-3. https://doi.org/10.1155/2012/913878
Mineyko A, Kirton A. The Black Box of Perinatal Ischemic Stroke Pathogenesis. Journal of Child Neurology 2011; 26(9): 1154-1162. https://doi.org/10.1177/0883073811408312
Ghidini A, Locatelli A. Diffuse placental chorioangiomatosis causing multiple fetal cerebral embolism: a case report. J Reprod Med 2006; 51: 321-4.
Das S, Ankola P, Chiechi M, Sandhu J. Perinatal Cerebral Arterial Infarction Associated with a Placental Chorioangioma. American Journal of Perinatology 2008; 25(6): 381-383. https://doi.org/10.1055/s-2008-1078755
Lehman L, Rivkin M. Perinatal Arterial Ischemic Stroke: Presentation, Risk Factors, Evaluation, and Outcome. Pediatric Neurology 2014; 51(6): 760-768. https://doi.org/10.1016/j.pediatrneurol.2014.07.031
Imdad A, Sheikh L, Malik A. A large chorioangiomas causing intrauterine foetal demise. J Pak Med Assoc 2009; 59: 580-1.
Reshetnikova O, Burton G, Milovanov A, Fokin E. Increased incidence of placental chorioangioma in high-altitude pregnancies: Hypobaric hypoxia as a possible etiologic factor. American Journal of Obstetrics and Gynecology 1996; 174(2): 557-561. https://doi.org/10.1016/S0002-9378(96)70427-1
Taori K, Patil P, Attarde V, Singh A, Rangankar V. Chorioangioma of placenta: Sonographic features. Journal of Clinical Ultrasound 2008; 36(2): 113-115. https://doi.org/10.1002/jcu.20366
Lurain J. Gestational trophoblastic disease I: epidemiology, pathology, clinical presentation and diagnosis of gestational trophoblastic disease, and management of hydatidiform mole. American Journal of Obstetrics and Gynecology 2010; 203(6): 531-539. https://doi.org/10.1016/j.ajog.2010.06.073
Gimenez A, Kopkin R, Chang D, Belfort M, Reece E. Advances in Fetal Surgery: Current and Future Relevance in Plastic Surgery. Seminars in Plastic Surgery 2019; 33(03): 204-212. https://doi.org/10.1055/s-0039-1693431
Wu Z, Hu W. Clinical analysis of 26 patients with histologically proven placental chorioangiomas. European Journal of Obstetrics & Gynecology and Reproductive Biology 2016; 199: 156-163. https://doi.org/10.1016/j.ejogrb.2015.12.009
Dong T, Sher D, Luo Q. Pregnancy complications and adverse outcomes in placental chorioangioma: a retrospective cohort analysis. The Journal of Maternal-Fetal & Neonatal Medicine 2018; 1-5. https://doi.org/10.1080/14767058.2018.1548598
Quintero R, Reich H, Romero R, Johnson M, Gonçalves L, Evans M. In utero endoscopic devascularization of a large chorioangioma. Ultrasound in Obstetrics and Gynecology 1996; 8(1): 48-52. https://doi.org/10.1046/j.1469-0705.1996.08010048.x
Zalel Y, Weisz B, Gamzu R, Schiff E, Shalmon B, Achiron R. Chorioangiomas of the placenta: sonographic and Doppler flow characteristics. J Ultrasound Med 2002; 21(8): 909-13. https://doi.org/10.7863/jum.2002.21.8.909
Ercan C, Coksuer H, Karasahin K, Alanbay I, Baser I. Combined Approach in a Large Placental Chorioangioma Case with Intratumoral Alcohol Injection, Cordocentesis, IU Transfusion, and Amnioreduction. Fetal and Pediatric Pathology 2012; 31(6): 374-378. https://doi.org/10.3109/15513815.2012.659402
Hamouda S, Soussan J, Haumonté J, Bretelle F. In utero embolization for placental chorioangioma and neonatal multifocal hemangiomatosis. Journal of Gynecology Obstetrics and Human Reproduction 2019; 48(8): 689-694. https://doi.org/10.1016/j.jogoh.2019.05.011
Phithakwatchara N, Makarasen P, Nawapun K, Hanamornroongruang S, Viboonchart S, Wataganara T. Time and temperature dependence of radiofrequency ablation in the human placenta. Prenatal Diagnosis 2018; 38(7): 504-510. https://doi.org/10.1002/pd.5276
Hun K, Nassar P, Chen T, Sardesai S, Chmait R. Giant Chorioangioma TreatedIn Uterovia Laser of Feeding Vessels with Subsequent Development of Multifocal Infantile Hemangiomas. Fetal and Pediatric Pathology 2014; 34(1): 1- 8. https://doi.org/10.3109/15513815.2014.925018
Jones K, Tierney K, Grubbs B, Pruetz J, Detterich J, Chmait R. Fetoscopic Laser Photocoagulation of Feeding Vessels to a Large Placental Chorioangioma following Fetal Deterioration after Amnioreduction. Fetal Diagnosis and Therapy 2012; 31(3): 191-195. https://doi.org/10.1159/000331944
Kirstie M. Franceschina, Sonographic Evaluation of a Large Placental Chorangioma. Journal of Diagnostic Medical Sonography 2017; 33(3): 246-250. https://doi.org/10.1177/8756479317691357
Bashiri A, Furman B, Erez O, Wiznitzer A, Holcberg G, Mazor M. Twelve cases of placental chorioangioma, Pregnancy outcome and clinical significance. Arch Gynecol Obstet 2002; 266: 53-55. https://doi.org/10.1007/PL00007501
Wanapirak C, Tongsong T, Sirichotiyakul S, Chan-Prapaph P. Alcoholization: the choice of intrauterine treatment for chorioangioma. Journal of Obstetrics and Gynaecology Research 2002; 28(2): 71-75. https://doi.org/10.1046/j.1341-8076.2002.00016.x
