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Re: Chorioangioma follow upFrom: Dianne Walkup RDMS RDCS (walkup@nwrain.com)Fri Aug 28 20:07:33 1998
Greetings, The two chorioangioma patients I mentioned a couple of weeks ago have both delivered. The first patient had severe polyhydramnios for a couple of weeks, which abruptly fell off down to a very low normal level, so an amnio was done for lung maturity. This being fine, a c section was done (transverse lie). After birth, the placenta was described as 'friable', and the chorioangioma was noted to be closer to the maternal side of the placenta, but near the placental cord insertion site. The baby was born weighing over 8 lbs at 36 weeks,and has done fine, although it is being evlauated for a syndrome involving skin tags on one ear (also seen on ultrasound). The name of the syndrome escapes me, but it involves short neck, unilateral kidney (this baby has both), ear skin tags, and deafness. I can look it up if anyone is interested. The patient whose chorioangioma had enlarged was watched, and the mass continued to enlarge fairly quickly, encompassing the placental cord insertion site. Severe polyhydramnios persisted. The docs did an amnio for lung maturity and induced with close observation. Baby had a couple of bad decels so was sectioned. Both baby and Mom were fine. The gestation was just under 37 weeks. The only comment on this placenta was that the chorioangioma did encompass the cord insertion, with the mass on the fetal side of the placenta. Thanks to those who commented on the cases earlier.
-- Dianne Walkup, RDMS RDCS
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