Massive Subchorionic Thrombohematoma (Breus’ Mole)‎ Associated with Fetal Growth Restriction, Oligohydramnios, and Intrauterine Fetal Death

Joint Authors

Masamoto, Hitoshi
Nitta, Hayase
Kinjo, Tadatsugu
Mekaru, Keiko
Miyagi, Miyuki
Aoki, Y.

Source

Case Reports in Obstetrics and Gynecology

Issue

Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-3, 3 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2019-04-30

Country of Publication

Egypt

No. of Pages

3

Main Subjects

Diseases

Abstract EN

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.

American Psychological Association (APA)

Miyagi, Miyuki& Kinjo, Tadatsugu& Mekaru, Keiko& Nitta, Hayase& Masamoto, Hitoshi& Aoki, Y.. 2019. Massive Subchorionic Thrombohematoma (Breus’ Mole) Associated with Fetal Growth Restriction, Oligohydramnios, and Intrauterine Fetal Death. Case Reports in Obstetrics and Gynecology،Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141797

Modern Language Association (MLA)

Miyagi, Miyuki…[et al.]. Massive Subchorionic Thrombohematoma (Breus’ Mole) Associated with Fetal Growth Restriction, Oligohydramnios, and Intrauterine Fetal Death. Case Reports in Obstetrics and Gynecology No. 2019 (2019), pp.1-3.
https://search.emarefa.net/detail/BIM-1141797

American Medical Association (AMA)

Miyagi, Miyuki& Kinjo, Tadatsugu& Mekaru, Keiko& Nitta, Hayase& Masamoto, Hitoshi& Aoki, Y.. Massive Subchorionic Thrombohematoma (Breus’ Mole) Associated with Fetal Growth Restriction, Oligohydramnios, and Intrauterine Fetal Death. Case Reports in Obstetrics and Gynecology. 2019. Vol. 2019, no. 2019, pp.1-3.
https://search.emarefa.net/detail/BIM-1141797

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1141797