Open AccessA case report of placental mesenchymal dysplasia
Author(s) -
Bogdan Doroftei,
Andra-Sabieculai-Văleanu,
Gabriela Simionescu,
D Grab,
Natalia Darii Plopa,
Emil Anton,
Radu Maftei
Publication year - 2019
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000014554
Subject(s) - medicine , intrauterine growth restriction , fetus , caesarean section , obstetrics , gestation , dysplasia , placenta , pregnancy , gynecology , pathology , biology , genetics
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.