|
|
 |
  |
 |
|
|
|
|
|
 |
21st European Congress of Pathology
Istanbul, Turkey, September 08-13, 2007
http://www.ecp2007istanbul.org/
Slide Seminar 13, September 10th
Unexpected histological findings that change the clinical diagnosis in foetoplacental pathology
Chairpersons: P.B.Nunes and E.Ozer |
|
|
|
|
|
Return to seminar page |
|
|
Case 6
Presented by: Dr. Erdener Ozer
Clinical History
A female neonate weighing 2025g was born at 37-week-gestation to a 35-year-old gravida 2, para 1 mother by caesarean section. Apgar scores were 6 at 1 and 5 minutes. The patient was admitted to the NICU after delivery because of pallor and respiratory distress. The gestational history included IUGR, but no fetal anomaly or placental pathology. The mother’s medical history was unremarkable.
On physical examination, pale skin color, tachycardia and tachypnea were noted. Cardiac oscultation revealed a systolic murmur on the apex. Bilateral crackles were also noted on the basis of the lungs. Abdomen was distended and liver was palpated 4 cm below costal margin. Her hemoglobin level was 10.8 g/dl, hematocrit 38%, white blood cell 27500/mm3 and platelet count 31000/mm3. Peripheral blood smear revealed polychromasis, anisocytosis and poikilocytosis. There was 80% normoblast Bone marrow aspiration was planned.. Chest X-ray showed cardiomegaly. Echocardiography was normal. Patient was entubated and mechanical ventilation was performed because of respiratory failure. Antibiotic therapy was started because of the risk of sepsis. Thrombocyte suspension was administrated and packed red cell transfusion were performed. On pathogical examination, the placenta showed multiple nodules. Slide represents one of the nodules.
|
|
|
| |
DIFFUSE (MULTIFOCAL) CHORANGIOMATOSIS OF THE PLACENTA
|
| |
Please post comments! |
| |
|
|
| |
|
| |
|
Subject |
Posted |
Author |
Replies |
|
|
28.12.2007 |
|
0 |
|
| |
|
|
|
|
|
 |
 |
 |
|
