Doroftei B, Neculai-Valeanu S, Simionescu G, Grab D, Plopa N, Anton E, Maftei R. A case report of placental mesenchymal dysplasia: A rare case of a genetically normal fetus with severe intrauterine growth restriction.
Medicine (Baltimore) 2019;
98:e14554. [PMID:
30813167 PMCID:
PMC6408077 DOI:
10.1097/md.0000000000014554]
[Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
RATIONALE
We report a rare case of a pregnant woman with placental mesenchymal dysplasia (PMD) and intrauterine growth restriction (IUGR) with a genetically normal fetus.
PATIENT CONCERNS
A 42-year-old woman Gravida I, Para I with pre-existent uncontrolled hypertension and uterine polyfibromatosis present at 30 weeks of gestation for diminished fetal activity during the last 2 days.
DIAGNOSIS
Placental mesenchymal dysplasia associated with intrauterine growth restriction, hypertension, and uterine polyfibromatosis.
INTERVENTION
A live male infant was delivered by emergency caesarean section.
OUTCOMES
The infant, weighing 700 g, died 4 days after birth due to a massive intracerebral hemorrhage.
LESSONS
A careful examination should be done at every ultrasound in case of a fetus with IUGR to exclude some rare cases of placental pathologies. PMD can be a rare cause of IUGR with a genetically normal fetus.
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