Diagnosis of Sub-chorionic hematoma in pregnancy by magnetic resonance imaging (MRI) : a case report

DOI
  • KURITANI Midori
    Departement of Obstetrics and Gynecology, Rinku General Medical Center Departement of Obstetrics and Gynecology, Osaka University Hospital
  • SHIGETA Naoya
    Departement of Obstetrics and Gynecology, Rinku General Medical Center Departement of Obstetrics and Gynecology, JCHO Osaka Hospital
  • KOBAYASHI Mariya
    Departement of Obstetrics and Gynecology, Rinku General Medical Center Departement of Obstetrics and Gynecology, Osaka University Hospital
  • MAENAKA Takahide
    Departement of Obstetrics and Gynecology, Rinku General Medical Center Departement of Obstetrics and Gynecology, Osaka University Hospital
  • CHANG Yang-sil
    Departement of Obstetrics and Gynecology, Rinku General Medical Center
  • TSUBOUCHI Hiroaki
    Departement of Obstetrics and Gynecology, Rinku General Medical Center
  • SHIKADO Kayoko
    Departement of Obstetrics and Gynecology, Rinku General Medical Center
  • OGITA Kazuhide
    Departement of Obstetrics and Gynecology, Rinku General Medical Center

Bibliographic Information

Other Title
  • 妊娠後期に発症し，妊娠延長が可能であった絨毛膜下血腫の3例

Description

<p>Sub-chorionic hematoma is defined as marginal hemorrhage of the placenta between the chorionic plate and the underlying decidua during the 1st and 2nd trimesters of pregnancy. We report three cases of sub-chorionic hematoma that occurred during late pregnancy. Using ultrasonography and MRI, patients were diagnosed with sub- chorionic hematoma between 28 - and 32 - weeks’ gestation (late pregnancy). Particularly, MRI was useful for distinguishing between a sub- chorionic hematoma and placental abruption. Pregnancy sustained and vaginal delivery was possible in the patients. Two patients delivered at 34 weeks’ gestation, and the pregnancy progressed uneventfully, and an elective cesarean section was performed at 38 weeks for the third patient. Neonatal outcomes were good in all cases.Subchorionic hematoma is associated with perinatal complications such as preterm labor and fetal growth restriction. MRI can accurately determine the location and size of the hematoma. Obstetricians should consider a diagnosis of sub-chorionic hematoma in patients with lower abdominal pain in whom a hematoma is observed near the placenta during late pregnancy. Thus, MRI can be used to distinguish between sub-chorionic hematoma and placental abruption. [Adv Obstet Gynecol, 73 (1) : 54-61, 2021 (R3.2)]</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390850092195057024
  • NII Article ID
    130007987006
  • DOI
    10.11437/sanpunosinpo.73.54
  • ISSN
    13476742
    03708446
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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