Giant Hepatic Hemangioma and Placental Chorangiosis: A Unique Case of Stillbirth?
| Autor: | Valentino Remorgida, Leonardo Peñuela, Cesare Arioni, Michele Paudice, Bruno Spina, Ezio Fulcheri, Valerio Gaetano Vellone, Flaminia Torielli, Francesca Buffelli |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
0301 basic medicine Hepatic Hemangioma Pathology medicine.medical_specialty Placenta Diseases Placenta 030105 genetics & heredity Pathology and Forensic Medicine hepatic hemangioma chorangiosis 03 medical and health sciences 0302 clinical medicine Pregnancy medicine Humans Myocardial infarction stillbirth Fetus 030219 obstetrics & reproductive medicine Chorangiosis business.industry Liver Neoplasms General Medicine Hypervascularity medicine.disease Hemangioma Cavernous Liver Heart failure Pediatrics Perinatology and Child Health Gestation Female Chorionic Villi Hemangioma business |
| Popis: | INTRODUCTION Hepatic hemangiomas (HH) are benign vascular tumors, and when large, may contribute to fetal morbidity/mortality. Chorangiosis is placental villus capillary hypervascularity, probably linked with fetal hypoxia. CASE REPORT We present a macrosomic stillbirth at 39 + 3 weeks of gestation with congestive heart failure (CHF) and myocardial infarction. A giant right hepatic lobe HH was present, along with placental chorangiosis. CONCLUSION A common pathogenetic pathway between congenital HH and placental chorangiosis has not been reported. Our case suggests that the effects of HH and chorangiosis increase the risk of late fetal loss due to the high-output CHF. |
| Databáze: | OpenAIRE |
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