Massive Subchorionic Hematoma (Breus' Mole) Complicated by Intrauterine Growth Retardation.

• DOI: 10.1272/jnms.68.54
• Publication Date: 2002-08-26T17:34:57Z
• Authors: Naoko Nishida; Shunji Suzuki; Yukie Hamamura; Kenji Igarashi; Zuisei Hayashi; Rintaro Sawa; Yoshio Yoneyama; Hirobumi Asakura; Ken Kawabata; Yoshio Shima; Sumio Shin; Tsutomu Araki
• Keywords: Adult; Pregnancy Complications; Hematoma; 03 medical and health sciences; Fetal Growth Retardation; 0302 clinical medicine; Pregnancy; Humans; Female; Chorion; 3. Good health

We present here a case of massive subchorionic hematoma complicated by intrauterine growth retardation and oligohydramnios diagnosed at 22 weeks' gestation. The patient was managed with the following medications: (1) tocolysis ritodrine infusion, (2) 10%maltose infusion therapy (1500mL/day), (3) antibiotic (cefotaxim sodium, 2 g/day×7) (4) kampo Sairei-to until delivery. At 33 weeks 0 days' gestation, female baby weighing 1,342 g delivered without complication caesarean section. During surgery, an escape about 500∼600 dark brown blood no clots noted from space placenta. Examination placenta showed large fibrosis well-defined margins on fetal surface.