Prenatal diagnosis of placental mesenchymal dysplasia

Placental mesenchymal dysplasia is a rare and benign placental abnormality. It is characterized by placentomegaly with multiple cystic lesions of the villous tree and vascular abnormalities along with increased maternal serum alpha-fetoprotein concentrations. It is an unknown clinical entity and can...

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Authors: Reyna-Villasmil, Eduardo; Torres-Cepeda, Duly; Rondon-Tapia, Martha
Format: Article
Status:Published version
Publication date:2021
Country:Perú
Institution:SPOG
Repository:Revista Peruana de Ginecología y Obstetricia
Language:Spanish
English
OAI Identifier:oai:ginecologiayobstetricia.pe:article/2309
Online Access:https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2309
Access Level:Open access
Keyword:Placental diseases
Ultrasound
Prenatal diagnosis
Enfermedades placentarias
Ultrasonografía
Diagnóstico prenatal
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author Reyna-Villasmil, Eduardo
author2 Torres-Cepeda, Duly
Rondon-Tapia, Martha
author2_role author
author
author_browse Reyna-Villasmil, Eduardo
Rondon-Tapia, Martha
Torres-Cepeda, Duly
author_facet Reyna-Villasmil, Eduardo
Torres-Cepeda, Duly
Rondon-Tapia, Martha
author_role author
collection Revista Peruana de Ginecología y Obstetricia
description Placental mesenchymal dysplasia is a rare and benign placental abnormality. It is characterized by placentomegaly with multiple cystic lesions of the villous tree and vascular abnormalities along with increased maternal serum alpha-fetoprotein concentrations. It is an unknown clinical entity and can be confused with gestational trophoblastic disease due to the similar ultrasound findings in both entities; but the management and the perinatal outcome are different. It should be included in the differential diagnosis of ultrasound findings showing a normal-appearing fetus and a placenta with cystic lesions. However, placental mesenchymal dysplasia is associated with complications such as intrauterine growth restriction and intrauterine fetal death. Due to the high number of complications and associated pathologies, it is necessary to increase ultrasound evaluations to reduce fetal morbidity and mortality. A case of prenatal diagnosis of placental mesenchymal dysplasia with normal fetus is presented.
eu_rights_str_mv openAccess
format article
id PE_eb4ba5c19d7c0e14d8b8d72febd46bae
identifier_str_mv 10.31403/rpgo.v67i2309
institution SPOG
instname_str Sociedad Peruana de Obstetricia y Ginecología
language spa
eng
network_acronym_str PE
network_name_str Perú
oai_identifier_str oai:ginecologiayobstetricia.pe:article/2309
publishDate 2021
publishDateSort 2021
publisher Sociedad Peruana de Obstetricia y Ginecología
publisherStr Sociedad Peruana de Obstetricia y Ginecología
reponame_str Revista Peruana de Ginecología y Obstetricia
spelling Prenatal diagnosis of placental mesenchymal dysplasia Diagnóstico prenatal de displasia mesenquimal placentaria Reyna-Villasmil, Eduardo Torres-Cepeda, Duly Rondon-Tapia, Martha Placental diseases Ultrasound Prenatal diagnosis Enfermedades placentarias Ultrasonografía Diagnóstico prenatal Placental mesenchymal dysplasia is a rare and benign placental abnormality. It is characterized by placentomegaly with multiple cystic lesions of the villous tree and vascular abnormalities along with increased maternal serum alpha-fetoprotein concentrations. It is an unknown clinical entity and can be confused with gestational trophoblastic disease due to the similar ultrasound findings in both entities; but the management and the perinatal outcome are different. It should be included in the differential diagnosis of ultrasound findings showing a normal-appearing fetus and a placenta with cystic lesions. However, placental mesenchymal dysplasia is associated with complications such as intrauterine growth restriction and intrauterine fetal death. Due to the high number of complications and associated pathologies, it is necessary to increase ultrasound evaluations to reduce fetal morbidity and mortality. A case of prenatal diagnosis of placental mesenchymal dysplasia with normal fetus is presented. La displasia mesenquimal placentaria es una anomalía placentaria benigna y rara. Está caracterizada por placentomegalia con múltiples lesiones quísticas de las vellosidades troncales y anomalías vasculares junto con el aumento de las concentraciones séricas maternas de alfafetoproteína. Es una entidad clínica desconocida y puede confundirse con enfermedad trofoblástica gestacional debido a los hallazgos ecográficos similares en ambas entidades; pero, el manejo y la resultante perinatal son diferentes. Debe incluirse en el diagnóstico diferencial de los hallazgos ecográficos que muestran feto de apariencia normal y placenta con lesiones quísticas. No obstante, la displasia mesenquimal placentaria está asociada a complicaciones como restricción del crecimiento intrauterino y muerte fetal intrauterina. Debido al alto número de complicaciones y patologías asociadas, es necesario aumentar las evaluaciones ecográficas para disminuir la morbimortalidad fetal. Se presenta un caso de diagnóstico prenatal de displasia mesenquimal placentaria con feto normal. Sociedad Peruana de Obstetricia y Ginecología https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2309 10.31403/rpgo.v67i2309
spellingShingle Prenatal diagnosis of placental mesenchymal dysplasia
Reyna-Villasmil, Eduardo
Placental diseases
Ultrasound
Prenatal diagnosis
Enfermedades placentarias
Ultrasonografía
Diagnóstico prenatal
status_str publishedVersion
title Prenatal diagnosis of placental mesenchymal dysplasia
title_full Prenatal diagnosis of placental mesenchymal dysplasia
title_fullStr Prenatal diagnosis of placental mesenchymal dysplasia
title_full_unstemmed Prenatal diagnosis of placental mesenchymal dysplasia
title_short Prenatal diagnosis of placental mesenchymal dysplasia
title_sort Prenatal diagnosis of placental mesenchymal dysplasia
topic Placental diseases
Ultrasound
Prenatal diagnosis
Enfermedades placentarias
Ultrasonografía
Diagnóstico prenatal
topic_facet Placental diseases
Ultrasound
Prenatal diagnosis
Enfermedades placentarias
Ultrasonografía
Diagnóstico prenatal
url https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2309