Blengio V, Affonso M, Orihuela P
Hospital Pereira Rossell, Universidad de la República
Montevideo, Uruguay
Clínica Ginecotocológica C, Prof. Dr. Claudio Sosa

Resumen
Objetivos: reportar el caso de un corioangioma placentario gigante. Revisar la literatura. Presentación del caso: paciente de 21años que presentó un corioangioma gigante de 82 x 58 mm diagnosticado a las 28 semanas, se realizó seguimiento ambulatorio en policlínica de alto riesgo obstétrico con ecografía y doppler seriados, permaneciendo normales y sin cambios en el tamaño del corioangioma. Se realiza cesárea de coordinación al término, con buen resultado perinatal. Conclusiones: si bien en el caso presentado se obtuvo un buen resultado perinatal, no se debe subestimar la elevada morbimortalidad consecuente del eventual compromiso hemodinámico fetal producto de las anastomosis vasculares producidas en el corioangioma. Se destaca la importancia del diagnóstico prenatal, y su adecuado seguimiento, anticipando posibles complicaciones con su eventual tratamiento.

Palabras clave: Corioangioma placentario, Tumor placentario.

Abstract
Objectives: Reporting the case of a giant placental chorioangioma that was diagnosed and followed-up in our service. Review the literature about the epidemiology, diagnosis, treatment, management and prognosis of these placental tumors. A descriptive study is presented, on the subject of a clinical case. Case report: 21-year-old patient who presented a giant chorioangioma 82*58mm diagnosed at 28 weeks, ambulatory follow-up was performed in high-risk obstetric polyclinic with obstetric ultrasound, Doppler and middle cerebral artery peak systolic velocity (MCA-PSV), remaining normal and unchanged in the size of the chorioangioma. Coordinated caesarea is performed at the end, with good perinatal outcome. Conclusions: Although a good perinatal result was obtained in the case presented, the high neonatal fetus morbidity and mortality resulting from the eventual fetal hemodynamic compromise due to vascular anastomoses produced in the chorioangioma should not be underestimated. The importance of prenatal diagnosis and its adequate follow-up are highlighted, anticipating possible complications with its possible treatment.

Keywords: Placental Chorioangioma, Placental tumor.