Ultrasonic evidence that massive subchorial thrombohematoma is an antemortem event

Almondm, Diane Christine; Fentomm, David William; Kennedym, Alexander; Pryce, W. I. J.

doi:10.1002/jcu.1870110114

Cited by 11 publications

(13 citation statements)

References 10 publications

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“…Since the first description of subchorionic hematoma by Breus [1] in 1892, many cases with this condition have been reported. Subchorionic hematoma can be diagnosed antenatally by ultrasonography [2][3][4][5][6][7][8][9]. To our knowledge, however, no reports have described a massive subchorionic hematoma featuring an intraplacental fluid-fluid level.…”

Section: Introductionmentioning

confidence: 95%

“…Massive subchorionic hematoma could be formed from maternal bleeding and results in the separation of the chorionic plate from the villous chorion. It is also known as Breus' mole, which can result in serious obstetrical complications such as intrauterine growth restriction (IUGR) and intrauterine fetal death (IUFD) [1,2]. Since the first description of subchorionic hematoma by Breus [1] in 1892, many cases with this condition have been reported.…”

Section: Introductionmentioning

confidence: 99%

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Massive Subchorionic Hematoma: Peculiar Prenatal Images and Review of the Literature

Nishijima

Shukunami²,

Tsuyoshi³

et al. 2004

Fetal Diagn Ther

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Massive subchorionic hematoma is a localized collection of blood or hematoma in the placenta, and can result in serious obstetrical complications. The condition can be diagnosed antenatally by ultrasound. However, no reports have previously described the same condition featuring an intraplacental fluid–fluid level on imaging studies. We report a case of massive subchorionic hematoma diagnosed prenatally, and propose an additional peculiar finding detectable on both the ultrasound and magnetic resonance images: the intraplacental fluid–fluid level. We also review previously reported cases that were detected by ultrasonography.

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Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Massive Subchorionic Hematoma: Peculiar Prenatal Images and Review of the Literature

Nishijima

Shukunami²,

Tsuyoshi³

et al. 2004

Fetal Diagn Ther

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show abstract

“…Although massive subchorionic thrombohematoma is less frequent compared with placental infarction or chorioangioma [1], it causes severe IUGR due to the cirulatory disturbance of placenta [2]. All reports, describing this uncommon disease, employed mainly ultrasound analysis for its diagnosis [3,4]. Ultrasonography (USG) is a useful tool for prenatal diagnosis associated with placental abnormality, however, the observed features are comparatively similar among hematomas, cysts and other tumors.…”

Section: Introductionmentioning

confidence: 99%

A Case of Massive Subchorionic Thrombohematoma Diagnosed by Ultrasonography and Magnetic Resonance Imaging

Kojima¹,

Suzuki²,

Makino³

et al. 2000

Fetal Diagn Ther

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Massive subchorionic thrombohematoma is uncommon but associated with a poor perinatal prognosis. Placental enlargement was detected in a 25-year-old Japanese primipara woman with fetal growth retardation and oligohydramnios at 23 weeks’ gestation. Ultrasonography (USG) showed an abnormal sonolucency within the placenta at 28 weeks’ gestation, but could not give an unequivocal differentiation from placental abnormalities such as hematomas, cysts and other tumors. Magnetic resonance imaging (MRI) pointed to a large hematoma in the subchorionic region. Simultaneously, the amniotic fluid was brownish colored. From these findings, it was possible to have prenatal diagnosis of massive subchorionic thrombohematoma. At 32 weeks’ gestation, the fetus died in utero and was stillborn 3 days later. Pathological findings for the placenta revealed a large hematoma diffused between the villous chorion and the chorionic plate, with wide necrosis of placental tissue, likely due to formation of multiple thrombi. The clinical and pathological findings were compatible with massive subchorionic thrombohematoma. MRI might be useful for the detection of massive subchorionic thrombohematoma and help its clinical management in combination with USG and pulse Doppler imaging.

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“…2 The appearance of thrombohematomas may vary with time, but in no case was the disappearance of a massive thrombohematoma described, whereas some small subchorionic lesion may disappear or coagulate around the time of labor.…”

Section: Leti'ers To the Editormentioning

confidence: 99%

Sonographic subchorial hypoechoic areas are found frequently and in most cases have no influence on fetal outcome

Thomas¹,

Makkoul²,

d'Ixelles³

et al. 1993

Journal of Ultrasound in Medicine

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Ultrasonic evidence that massive subchorial thrombohematoma is an antemortem event

Cited by 11 publications

References 10 publications

Massive Subchorionic Hematoma: Peculiar Prenatal Images and Review of the Literature

Massive Subchorionic Hematoma: Peculiar Prenatal Images and Review of the Literature

A Case of Massive Subchorionic Thrombohematoma Diagnosed by Ultrasonography and Magnetic Resonance Imaging

Sonographic subchorial hypoechoic areas are found frequently and in most cases have no influence on fetal outcome

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