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首页> 外文期刊>Case Reports in Obstetrics and Gynecology >Massive Subchorionic Thrombohematoma (Breus’ Mole) Associated with Fetal Growth Restriction, Oligohydramnios, and Intrauterine Fetal Death
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Massive Subchorionic Thrombohematoma (Breus’ Mole) Associated with Fetal Growth Restriction, Oligohydramnios, and Intrauterine Fetal Death

机译：含有胎儿生长限制，寡盐水稻和宫内胎儿死亡的大规模亚流血管瘤（BREUS'摩尔）

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Massive subchorionic thrombohematoma (MST), termed Breus’ mole, is a rare condition in which a large maternal blood clot separates the chorionic plate from the villous chorion. Common complications of MST include fetal growth restriction, preeclampsia, and intrauterine fetal death. Here, we present a case of a 17-year-old Japanese woman referred to our institution at 21 weeks of gestation. Ultrasound examination revealed a large placental mass with mixed high and low echogenicity measuring approximately 7.6 cm in thickness. Doppler examination showed absence of end-diastolic velocity of the umbilical artery. At 22 weeks of gestation, the patient had a stillbirth weighing 138g. The placenta weighed 502 g and was 8 cm thick, and the total blood loss was 270 g. Macroscopic examination revealed that a subchorionic blood clot measuring 12 cm × 5 cm covered a large portion of the placenta with well-defined margins on the fetal surface. Microscopic examination revealed an intervillous hematoma and fibrinous deposits directly beneath the chorionic plate with adjacent compressive effects. Based on these findings, MST was diagnosed. Because MST is rare, it must be considered in the differential diagnosis of parental conditions. Magnetic resonance imaging can be optimal for diagnosing MST when ultrasound diagnosis is difficult.
机译：大规模的亚流血管瘤红细胞瘤（MST）称为Breus'摩尔，是一种罕见的病症，其中大型孕产妇血凝凝块将绒毛膜板与绒毛绒毛绒毛。 MST的常见并发症包括胎儿生长限制，先兆子痫和宫内胎儿死亡。在这里，我们提出了一个17岁的日本女性，在妊娠的21周内提到了我们的机构。超声检查显示大的胎盘肿块，其厚度为约7.6厘米的混合高和低回声。多普勒检查显示脐动脉末端舒张速度。在妊娠22周时，患者患有138克的死产。胎盘重502克，厚8厘米，总失血为270克。宏观检查表明，测量12cm×5cm的亚型血凝凝块覆盖大部分胎盘，在胎儿表面上具有明确定义的边缘。微观检查显示舒适板块下方的舒适性血肿和纤维状沉积物，具有相邻的压缩效果。基于这些发现，诊断出MST。因为MST很少见，所以必须考虑在父母条件的差异诊断中。当超声诊断难以诊断MST时，磁共振成像可以是最佳的。

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