Presentation
In this paper the first known case is presented in which an antepartum diagnosis of placenta membranacea was made by ultrasound. A multiparous woman is presented with intermittent painless vaginal bleeding in the second trimester of pregnancy. [ncbi.nlm.nih.gov]
Chorio-amnionitis was also present. DISCUSSION At no time was the correct diagnosis suspected. [documents.tips]
(partial placenta membranacea) is covered by chorionic Placenta membranacea usually presents with vaginal villi. [deepdyve.com]
Practical Presentation on Phantom and Clinical Cases Vertex presentations. Practical Presentation on Phantom and Clinical Cases Brech presentations. [umfcv.ro]
In the present case we reported the first concurrent incidence of two very rare of fetal abnomally ARPKD and placenta membranacea in a fetus. 2. Case Presentation 2.1. [sites.kowsarpub.com]
Entire Body System
- Anemia
[…] disorders with known effects Thick or viscid meconium Unexplained late pregnancy bleeding Unexplained or recurrent pregnancy complications Fetal and Neonatal Indications Admission to an acute care nursery Birth weight ≤10th or ≥95th percentile Fetal anemia [accessmedicine.mhmedical.com]
Polyhydramnios IUGR Previa Abruption CHF/cardiomegaly (AV shunting causes this=anemia=chf [too much cardiac output =increase in left ventrical=cardiomeglay-->chf]) Pre-eclampsia Anemia Congenital Anomalies whats chorioangioma look like and where is it [quizlet.com]
In a term infant without anemia, the maternal surface of the placenta should be dark maroon. In a premature infant, the placenta is lighter in color. [aafp.org]
- Pain
[…] management, Neonates, Infants and children, Physiologic consequences of noxious stimuli, Preoperative preparation of children undergoing surgery, Pain assessment and acute pain management in children, Non-pharmacologic techniques, Pharmacologic interventions [johcd.org]
It has She had no fever, bleeding, or abdominal pain. [deepdyve.com]
Some discomforts, like nausea, back pain, and fatigue, are common during pregnancy. Sometimes it is hard to know what is normal. Call your health care provider if something is bothering or worrying you. [icdlist.com]
The third patient complained of abdominal pain and vaginal discharge for 1 day. Diagnoses: Diagnosis of PM is based on Doppler ultrasound apparatus, and confirmed by pathology. [ncbi.nlm.nih.gov]
- Swelling
HYDATIDIFORM MOLE • The trophoblastic proliferation is associated with swelling of the villi • Subdivided into complete partial invasive. 53. [slideshare.net]
Swelling, necrosis, thrombosis and calcifications may be present. 5 (pp278–80) Cord Insertion The umbilical cord typically inserts into the placenta near its center. About 90 percent of cord insertions are central or eccentric. [aafp.org]
The histopathological event of HM is considered to be a proliferation of the villous trophoblast, accompanied by swelling of the chorionic villi, resulting in high levels of human chorionic gonadotrophin (hCG) production (e.g., Figure 7) [68]. [intechopen.com]
- Underweight
An abnormally underweight placenta with placenta memebranacea is unusual, with previous cases reporting normal placental weights., The growth of an appropriately sized infant in the presence of an underweight placenta membranacea suggests the diffuse [pathologyjournal.rcpa.edu.au]
Gastrointestinal
- Abdominal Pain
It has She had no fever, bleeding, or abdominal pain. [deepdyve.com]
The third patient complained of abdominal pain and vaginal discharge for 1 day. Diagnoses: Diagnosis of PM is based on Doppler ultrasound apparatus, and confirmed by pathology. [ncbi.nlm.nih.gov]
Fetus
- Placental Disorder
disorders Inclusion term(s): Placental dysfunction O43.891 Other placental disorders, first trimester O43.892 Other placental disorders, second trimester O43.893 Other placental disorders, third trimester O43.899 Other placental disorders, unspecified [icd10coded.com]
Placenta membranacea is a rare placental disorder characterized by the presence of fetal membranes (complete or partially) covered by. J Gynecol Obstet Biol Reprod (Paris). ;24(2) [Placenta membranacea. Review of the literature, a case report]. [nassrasolderg.gq]
Abstract Placenta membranacea is a rare placental disorder characterized by the presence of fetal membranes (complete or partially) covered by chorionic villi. A 35-year-old woman, gravida 1, was admitted for preterm labor at 24 weeks and 5 days. [ncbi.nlm.nih.gov]
Ravangard and Kimberly Henderson and Kisti Fuller}, journal={Archives of Gynecology and Obstetrics}, year={2013}, volume={288}, pages={709-712} } Placenta membranacea is a rare placental disorder characterized by the presence of fetal membranes (complete [semanticscholar.org]
2019-08-06 07:22 Placenta membranacea is a rare placental disorder characterized by the presence of fetal membranes (complete or partially) covered by chorionic villi. [psycalvi.cf]
- Fetus Small for Gestational Age
At gestational age of 24 weeks and 5 days, US image demonstrated a thin placenta covering the most part of uterine wall, partially covering the internal cervical os, with multiple cyst area beneath the placenta, and fetus small for gestation age. [ncbi.nlm.nih.gov]
- Second Trimester Bleeding
In one previous review of PM,[7] the majority of patients presented in the second or early third trimester with painless recurrent vaginal bleeding. [journals.lww.com]
Case 3 A 20-year-old primigravida, had a history of painless, intermittent, vaginal bleeding during the first and second trimester. [ncbi.nlm.nih.gov]
Neurologic
- Stroke
One of us (C.M.S.) has seen two cases of spontaneous cord thrombosis associated with neonatal stroke, and both were in infants of mothers who were at least heterozygous for the factor V Leiden mutation. [glowm.com]
Urogenital
- Vaginal Bleeding
A multiparous woman is presented with intermittent painless vaginal bleeding in the second trimester of pregnancy. Ultrasonic examination at 20 weeks' gestation revealed a gestational sac almost completely covered with placental tissue. [ncbi.nlm.nih.gov]
Therefore, diagnosis can be achieved by ultrasound, especially painless recurrent vaginal bleeding should raise the clinical suspicion of PM. [journals.lww.com]
- Cesarean Section
(Posterior or Anterior) [3] [1] [2] [4] No previous uterine surgery 1% to5% One previous Cesarean section 3% Two previous Cesarean sections 11% Three previous Cesarean sections 40% Four previous Cesarean sections 61% Five or more previous Cesarean sections [statpearls.com]
Risk of Placenta Accreta with a Concomitant Placenta Previa (Posterior or Anterior) No previous uterine surgery 1% to5% One previous Cesarean section 3% Two previous Cesarean sections 11% Three previous Cesarean sections 40% Four previous Cesarean sections [knowledge.statpearls.com]
At 38 weeks, she underwent a cesarean section. The placenta adhered firmly to the myometrium. Because the attempts to remove the placenta was unsuccessful, it was performed a total hysterectomy. The total blood loss was 7000 ml. [ncbi.nlm.nih.gov]
- Vaginal Discharge
The third patient complained of abdominal pain and vaginal discharge for 1 day. Diagnoses: Diagnosis of PM is based on Doppler ultrasound apparatus, and confirmed by pathology. [ncbi.nlm.nih.gov]
Workup
Ultrasound
- Fetus Small for Gestational Age
At gestational age of 24 weeks and 5 days, US image demonstrated a thin placenta covering the most part of uterine wall, partially covering the internal cervical os, with multiple cyst area beneath the placenta, and fetus small for gestation age. [ncbi.nlm.nih.gov]
Treatment
Placenta Membranacea (Placenta Malformation Membranacea): Read more about Symptoms, Diagnosis, Treatment, Complications, Causes and Prognosis. William C. Culp, M.D., Robert N. Bryan, M.D., and Luis B. Morettin, M.D.. [nassrasolderg.gq]
Last Updated on Thu, Careful examination of the placenta, its membranes, and the umbilical cord can prove to be a valuable aid in the diagnosis and treatment of the neonate. This is an example of placenta membranacea (placenta diffusa). [psycalvi.cf]
While hysterectomy—the removal of a woman’s uterus—has been the traditional treatment approach, other, more conservative options are available. [verywellhealth.com]
She implements the most advanced, state-of-the-art technology and treatment options. Dr. [draliabadi.com]
Placenta accreta spectrum treatment[8] Women who are at increased risk of placenta accreta should have ultrasound imaging to make a diagnosis. [patient.info]
Prognosis
Placenta Membranacea (Placenta Malformation Membranacea): Read more about Symptoms, Diagnosis, Treatment, Complications, Causes and Prognosis. William C. Culp, M.D., Robert N. Bryan, M.D., and Luis B. Morettin, M.D.. [nassrasolderg.gq]
If choriocarcinoma arises from a complete HM, the prognosis is usually favorable after proper chemotherapy. On the contrary, other cases of choriocarcinoma have a less favorable prognosis. Figure 9. [intechopen.com]
Metastatic TD 1.Good prognosis, low risk –absence of any risk factor 2.Poor prognosis ,high risk – presence of any risk factor a.Duration >4months b. Pretherapy level of beta hCG in serum >40,000mIU/mL. c. Brain or liver metastasis d. [slideshare.net]
Prognosis Medical assistance of newborn in delivery room Medical assistance of newborn in neo-natology department Neonatal ressuscitation 10 th Theme : Outlet Forceps. [umfcv.ro]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
More recently, Ahmed and Gilbert-Barness (2003) described three cases without finding an etiologic factor. In fact, the etiology of placenta membranacea is not understood. [aibolita.com]
Placenta membranacea should be considered in the etiology of painless vaginal bleeding in the second and third trimester. This condition can be associated with other placental abnormalities, such as placenta previa or accreta. [ncbi.nlm.nih.gov]
The etiology of placenta membranacea is not completely clarified. [sid.ir]
Epidemiology
Epidemiology The estimated incidence is ~1:20,000-40,000 pregnancies. [deeprad.de]
Epidemiology[9] Incidence is about 1/2,500 deliveries. They are associated with preterm delivery: 40% of women deliver before 38 weeks of gestation; caesarean should be planned for 36-37 weeks. [patient.info]
These findings provide mechanistic insight into the observed epidemiologic associations between COVID-19 in pregnancy and adverse perinatal outcomes. [irispublishers.com]
Clinical-epidemiological analysis of a large consecutive series of malformed infants. Am J Med Genet A. 2008;146A:15–25.CrossRefGoogle ScholarPubMed Battarbee, AN, Palatnik, A, Ernst, LM, et al. [cambridge.org]
Pathophysiology
This anomaly, pathophysiologically is reasoned by defective differentiate of trophoblastic shell in to the chorion frondosum and chorion leave at 8 - 10 weeks of gestation which result in membranes are covered by chorionic villi [4, 5]. [sites.kowsarpub.com]
This anomaly, pathophysiologically is reasoned by defective differentiate of trophoblastic shell in to the chorion frondosum and chorion leave at 8 - 10 weeks of gestation which result in membranes are covered by chorionic villi [ 4, 5 ]. [zjrms.com]
Pediatr Pathol 9: 11, 1989 18 Apkon M: Pathophysiology of hydrops fetalis. Semin Perinatol 19: 437, 1995 PubMed 19 Machin GA: Hydrops revisited: Literature review of 1414 cases published in the 1980s. [glowm.com]
Prevention
Mr Mazen M Kawji Chairman of cardiology committee Silver Cross Hospital New Lenox, IL | United States Primary Prophylaxis to Prevent the Development of Hepatic Encephalopathy in Cirrhotic Patients with Acute Variceal Bleeding. [pubfacts.com]
There are no strategies for primary prevention of vasa praevia. However, hemorrhage theoretically is preventable with antenatal screening for women at high risk and cesarean delivery at 37 to 38 weeks when vasa praevia is present [2, 3, 6, 7]. [webmedcentral.com]
When the outcome is difficult to control, your health care doctor may recommend an early delivery to try to prevent you from going into labor naturally. [draliabadi.com]
Currently, there are no definite measures available for preventing Placenta Membranacea. [dovemed.com]
Interventional radiology allows for the use of uterine artery embolization and transcatheter arterial embolization to prevent and treat PPH. [read.qxmd.com]