C-reactive protein in blood was negative. This child was given restricted fluids, diuretics and antibiotics but the child expired within 16 hours of birth. Pathological examination of placenta showed a big solid mass attached just at point of insertion of umblical cord measuring 9 cm 7 cm 4 cm in size. Its cut surface was brown and congested. Microscopic examination of placenta revealed proliferation of multiple small capillaries lined by endothelial cells with their lumina filled with blood, consistent with choriohemangioma of placenta.
Hydrops fetalis due to a large chorioangioma is a rare complication.
Our Patient had hydrops fetalis associated with large placental chorioangioma. The clinical manifestation included edema, anemia, hepato-splenomegaly and coagulopathy. Fluid restriction with diuretics and blood transfusion is the treatment of neonatal cardiac failure in such cases. Choriangioma of the placenta. Makino Y, Horiuchi S, Sonoda M, Kobayashi H, Kaneoka T, Kawarabayashi T. A case of large placental choriangioma with non-immunological hydrops fetalis.