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.
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| http://dx.doi.org/10.1097/MD.0000000000014554 | DOI Listing |
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