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Giant placental chorioangima and fetal-maternal outcome

Andrew B Ch Rattu, Joice Sondakh, Eddy Suparman,,


Department of Obstetrics and Gynecology
Faculty of Medicine, Sam Ratulangi University / Prof DR. R. D. Kandou General Hospital
Manado
Abstract

Background
Giant placental chorioangioma have been associated with a number of severe fetal complications
and high perinatal mortality. Giant vascular chorioangioma render a challenge to obstetricians with
their potential critical complications adversely altering fetal-maternal outcome. Diagnosis is
suspected antenatally by ultrasound and Doppler studies, and is corroborated by histopathology
post-delivery.

Objective
To report a rare case of Giant Placental Chorioangima and Fetal-Maternal outcome at Prof. DR
R.D Kandou Hospital Manado 2017

Case Report
We report a case of P1A0 32 years old with Giant Placental Chorioangioma, giving spontaneous
vaginal delivery at 31-32 weeks of gestation, single female baby was born, head presentation
weight 2100gr with multiple congenital anomaly fetus. Continued with manual placenta due to
prolonged third stage of labor, placental weight 2400gr . The newborn baby died 1 hour later due
to hemodynamic and respiratory failure. The mother was given 500 cc blood transfusion due to
post partum hemorrhage (1100ml) and was discharged home three days after observation.

Conclusion
The incidence of giant placental chorioangioma is relatively low, but its diagnosis and
management runs serious role avoiding antenatal complications and Fetal-Maternal outcome. In
this case the baby died due to hemodynamic and respiratory failure and the mother is well treated
without any severe complication.

Keywords: Giant placental, Chorioangioma, Fetal-Maternal Outcome

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Nama : dr. Andrew B Ch Rattu
Judul Makalah bebas : Giant placental chorioangima and fetal-maternal outcome
Nama Institusi : Department of Obstetrics and Gynecology
Faculty of Medicine, Sam Ratulangi University Manado
Prof DR. R. D. Kandou General Hospital Manado
Alamat institusi : Jalan Raya Tanawangko No.56
Kode Pos 95115
Telp. 0431-838203, 838503
Manado
No telp : 081244529696
Email : andrewrattu2001@yahoo.com

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