Journal of Nippon Medical School: Vol.68 No.1 page.054

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ArticleTitle Massive Subchorionic Hematoma (Breus' Mole) Complicated by Intrauterine Growth Retardation

AuthorList Naoko Nishida¹, Shunji Suzuki¹, Yukie Hamamura¹, Kenji Igarashi¹, Zuisei Hayashi¹, Rintaro Sawa¹, Yoshio Yoneyama¹, Hirobumi Asakura¹, Ken Kawabata², Yoshio Shima², Sumio Shin³ and Tsutomu Araki¹

Affiliation ¹Department of Obstetrics and Gynecology, Nippon Medical School ²Department of Pediatrics, Katsushika Red Cross Maternity Hospital ³Department of Obstetrics and Gynecology, Katsushika Red Cross Maternity Hospital

Language EN

Volume 68

Issue 1

Year 2001

Page 54-57

Received September 8, 2000

Accepted September 26, 2000

Keywords massive subchorionic hematoma, intrauterine growth retardation

Abstract We present here a case of massive subchorionic hematoma complicated by intrauterine growth retardation and oligohydramnios diagnosed at 22 weeks' gestation. The patient was managed with the following medications: (1) tocolysis with ritodrine infusion, (2) 10%maltose infusion therapy (1500mL/day), (3) antibiotic infusion (cefotaxim sodium, 2 g/day×7) and (4) kampo therapy with Sairei-to until delivery. At 33 weeks and 0 days' gestation, a female baby weighing 1,342 g was delivered without complication by caesarean section. During surgery, an escape of about 500~600 g of dark brown blood with no clots was noted from the subchorionic space of the placenta. Examination of the placenta showed a large fibrosis with well-defined margins on the fetal surface.

Correspondence to Shunji Suzuki, MD, Department of Obstetrics and Gynecology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan

ArticleTitle	Massive Subchorionic Hematoma (Breus' Mole) Complicated by Intrauterine Growth Retardation
AuthorList	Naoko Nishida¹, Shunji Suzuki¹, Yukie Hamamura¹, Kenji Igarashi¹, Zuisei Hayashi¹, Rintaro Sawa¹, Yoshio Yoneyama¹, Hirobumi Asakura¹, Ken Kawabata², Yoshio Shima², Sumio Shin³ and Tsutomu Araki¹
Affiliation	¹Department of Obstetrics and Gynecology, Nippon Medical School ²Department of Pediatrics, Katsushika Red Cross Maternity Hospital ³Department of Obstetrics and Gynecology, Katsushika Red Cross Maternity Hospital
Language	EN
Volume	68
Issue	1
Year	2001
Page	54-57
Received	September 8, 2000
Accepted	September 26, 2000
Keywords	massive subchorionic hematoma, intrauterine growth retardation
Abstract	We present here a case of massive subchorionic hematoma complicated by intrauterine growth retardation and oligohydramnios diagnosed at 22 weeks' gestation. The patient was managed with the following medications: (1) tocolysis with ritodrine infusion, (2) 10%maltose infusion therapy (1500mL/day), (3) antibiotic infusion (cefotaxim sodium, 2 g/day×7) and (4) kampo therapy with Sairei-to until delivery. At 33 weeks and 0 days' gestation, a female baby weighing 1,342 g was delivered without complication by caesarean section. During surgery, an escape of about 500~600 g of dark brown blood with no clots was noted from the subchorionic space of the placenta. Examination of the placenta showed a large fibrosis with well-defined margins on the fetal surface.
Correspondence to	Shunji Suzuki, MD, Department of Obstetrics and Gynecology, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan