Prenatal Three Dimensional Ultrasonography and Expectant Management of Placental Chorioangioma: A Case Report
Piyamas Saksiriwuttho MD*, Thawalwong Ratanasiri MD*, Chatuporn Doankum MD*, Pilaiwan Kleebkaew MD**, Pakaphan Kiatchoosakun MD***
Affiliation : * Division of Fetal Diagnosis and Therapy, Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand ** Division of Reproductive Pathology, Department of Obstetrics and Gynaecology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand *** Department of Pediatrics, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
A 24-year-old Thai woman presented with large for date. Two dimensional (2D) and Doppler ultrasonography revealed a large placental mass with prominent vasculature suggestive of chorioangioma with polyhydramnios. Three- dimensional (3D) ultrasonography was used to demonstrate the better images for parental counseling. Close observation with serial ultrasonography was chosen with spontaneous decreasing of amniotic fluid. On the follow up, six months after birth, the baby had hepatic hemangioma, which responded to corticosteroid and propanoral. Although, there are several invasive therapeutic treatments adopted in the management of chorioangioma. Such procedures can cause serious complications. Expectant management should be another option because large chorioangiomas may have spontaneous infarction that improve fetal hemodynamics and clinical outcomes.
Keywords : Chorioangioma, Three dimensional ultrasonography, Expectant management
