EURORAD ESR

Case 14610

A rare case of giant chorioangioma complicating pregnancy with fetal hydrops

Author(s)
Dr. Alisha Ghanchi, Dr. Avichala Taxak, Dr. Harshad Shah, Dr. Asutosh Dave, Dr. Nirmala Chudasama, Dr. Ajaykumar Chaudhari

C. U. Shah Medical College & Hospital,
Dudhrej Road,
363001 Surendranagar, India;
Email:alisha.ghanchi@gmail.com
 
Patient
female, 32 year(s)
 
 
  • Figure 1
    Ultrasonography

    Ultrasound showed well-defined hypoechoic mass measuring approx. 9.5 x 5.4 x 7.3 cm attached to the fetal surface of the placenta at its fundal end.

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 2
    Colour Doppler

    Colour Doppler examination demonstrated the lesion to have intense internal vascularity.

     
    Area of Interest: Obstetric imaging; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 3
    MRI T2WI
     

    T2 HASTE sagittal images showed well-defined mass lesion measuring 10 x 5.5 x 7.5 cm with heterogeneous intensity near the attachment of the umbilical cord (arrow) at the fundal end of the fetal surface of the placenta.

     
    Area of Interest: Obstetric imaging; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;

    On T2 HASTE coronal image, fetus showed features of hydrops including pleural effusion (thin arrow), ascites (thick arrow) and generalised oedema with skin thickness approx. 11mm (curved arrow).

     
    Area of Interest: Obstetric imaging; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fetus;

    T2 HASTE axial image showed increased placental thickness measuring approx. 7 cm, along with a heterogeneous intensity lesion (asterisk) at the fundal end.

     
    Area of Interest: Obstetric imaging; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 4
    Clinical image

    The child had oedematous and tense skin with reddish hue consistent with hydrops.

     
    Area of Interest: Foetal imaging; Imaging Technique: PACS; Procedure: Diagnostic procedure; Special Focus: Fetus;
     
     
  • Figure 5
    Clinical image

    The placenta showed a single 10 x 5.5 x 7.4 cm roughly spherical, reddish brown solid mass weighting approximately 500 grams. The placenta was oedematous, pale, friable and weighted approximately 900 grams.

     
    Area of Interest: Obstetric imaging; Imaging Technique: PACS; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
  • Figure 6
    HPE

    Microscopic examination revealed numerous congested and dilated blood vessels and intervillous fibrin deposition with areas of ischaemic necrosis.

     
    Area of Interest: Obstetric imaging; Imaging Technique: PACS; Procedure: Diagnostic procedure; Special Focus: Obstetrics;
     
     
Ultrasound showed well-defined hypoechoic mass measuring approx. 9.5 x 5.4 x 7.3 cm attached to the fetal surface of the placenta at its fundal end.
 
Colour Doppler examination demonstrated the lesion to have intense internal vascularity.
 
T2 HASTE sagittal images showed well-defined mass lesion measuring 10 x 5.5 x 7.5 cm with heterogeneous intensity near the attachment of the umbilical cord (arrow) at the fundal end of the fetal surface of the placenta.
 
On T2 HASTE coronal image, fetus showed features of hydrops including pleural effusion (thin arrow), ascites (thick arrow) and generalised oedema with skin thickness approx. 11mm (curved arrow).
 
T2 HASTE axial image showed increased placental thickness measuring approx. 7 cm, along with a heterogeneous intensity lesion (asterisk) at the fundal end.
 
The child had oedematous and tense skin with reddish hue consistent with hydrops.
 
The placenta showed a single 10 x 5.5 x 7.4 cm roughly spherical, reddish brown solid mass weighting approximately 500 grams. The placenta was oedematous, pale, friable and weighted approximately 900 grams.
 
Microscopic examination revealed numerous congested and dilated blood vessels and intervillous fibrin deposition with areas of ischaemic necrosis.
 
 
 
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