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Revista chilena de obstetricia y ginecología

versión On-line ISSN 0717-7526

Resumen

DE MIGUEL M, Sonia et al. Diagnóstico prenatal de trombohematoma subcoriónico masivo (mola de Breus). Rev. chil. obstet. ginecol. [online]. 2016, vol.81, n.2, pp.126-129. ISSN 0717-7526.  http://dx.doi.org/10.4067/S0717-75262016000200008.

The massive subchorionictrombo hematoma or Breus's Mola, this was the author who first described it in miscarriages, is a subchorionic hematoma at least 1 cm in thickness which occupies at least 50% of the fetal surface. Usually associated with high fetal and perinatal morbidity and mortality, as miscarriages, intrau-terine growth retardation, stillbirth, placental abruption and low birth weight, preterm generally. This entity should be distinguished from other processes that can seat under the chorionic plate to the fetal surface as chorioangioma, fibrin deposition and thrombosis intervillous space. They have tried to apply mechanisms that could cause such a circumstance, but for now we don't define medical risk factors that predispose clearly suffer from this entity. In order to describe these two cases diagnosed in 2013 is to emphasize that thanks to the sonographic suspicion of a massive subchorionic trombohematoma, can study the piece of placenta and membranes after the end of pregnancy, so it would provide pathologic confirmation, otherwise this information could be lost.

Palabras clave : Massive subchorionictrombo hematoma; Breus s mola; late miscarriage; intrauterine growth retardation; prenatal diagnosis.

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