Placental chorioangioma

Case contributed by Dr Muhammad Yousaf
Diagnosis almost certain


Incidental finding in routine growth scan at 32 weeks.

Patient Data

Age: 22 years
Gender: Female

A well-demarcated hypoechoic lesion having few internal echogenic septa is seen in the placenta at the site of cord insertion projecting into the amniotic cavity. The lesion shows significant internal vascularity upon color doppler.

Case Discussion

The above mentioned findings are most likely suggestive of placental chorioangioma. Large placental chorioangiomas can cause vascular shunting and hydrops fetalis. Other complications include fetal thrombocytopenia, placental abruption, preeclampsia, and IUGR. Our case remained asymptomatic.

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