AI Article Synopsis

  • Placental mesenchymal dysplasia (PMD) is a rare condition linked to serious pregnancy risks, including fetal growth issues and complications like placenta previa.
  • A 27-year-old woman was diagnosed with fetal growth restriction and placenta previa at 22 weeks of pregnancy, where ultrasounds suggested twins, including a hydatidiform mole and a healthy fetus.
  • Tragically, at 27 weeks, she suffered a sudden intrauterine fetal death after bleeding, leading to the confirmation of PMD post-delivery; this case highlights the high risk of IUFD in patients with both PMD and placenta previa.

Article Abstract

Placental mesenchymal dysplasia (PMD) is a rare placental abnormality that is closely related to severe pregnancy complications. A 27-year-old woman with fetal growth restriction and placenta previa was referred to a university hospital at 22 gestational weeks (GW). She was suspected of having a twin pregnancy with a complete or partial hydatidiform mole and coexisting normal live fetus, because two separate placentas, an enlarged one with multiple cystic lesions and a normal one, were shown on ultrasound examinations. At 27 GW, she experienced a sudden intrauterine fetal death (IUFD) after bleeding due to placenta previa, despite confirmation of fetal well-being at 2 h before bleeding. After delivery, histopathological examination confirmed the diagnosis of PMD. This is the first documented case of a woman with PMD and placenta previa who had a sudden IUFD after bleeding. Patients with both PMD and placenta previa should be considered at extremely high risk for IUFD.

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Source
http://dx.doi.org/10.1111/jog.14991DOI Listing

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