An Unexplained case of Recurrent Massive Subchorionic Hematoma in Midpregnancy.
- Author:
Min Jeoung KIM
1
;
Jong Sook YOON
;
Sun Young NAM
;
In Yang PARK
;
Soo Young HUR
;
Gui Sera LEE
;
Hyun Wook LIM
;
Jong Chul SHIN
;
Sa Jin KIM
Author Information
1. Department of Obstetrics and Gynecology, The Catholic University, Seoul, Korea. sajin@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Recurrent massive subchorionic hematoma;
Ultrasound
- MeSH:
Chorion;
Fetal Growth Retardation;
Fetus;
Hematoma*;
Humans;
Pregnancy;
Ultrasonography
- From:Korean Journal of Obstetrics and Gynecology
2006;49(7):1567-1572
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Placental abnormality is the important predisposing cause of intrauterine growth retardation. Massive subchorionic hematoma is defined as a large size of maternal blood clot that separates the chorionic plate from the villous chorion and can result in serious obstetrical complications. We report a case of massive subchorionic hematoma diagnosed prenatally, and propose an additional peculiar finding detectable on both the ultrasound and magnetic resonance images: a large hematoma in the subchorionic region at 17 weeks gestation. At 18 weeks 2 days gestation, the fetus was miscarried. The clinical and pathological findings were compatible with massive subchorionic hematoma. Recurrent massive subchorionic hematoma without thrombophilic finding was observed at the next pregnancy in 17 weeks 5 days by ultrasound. The patient was managed conservatively and had successful outcome at term. So we report the case with the brief review of literatures.
