A normotensive pregnant woman who had no historical risk factors for abruption placenta and found to have Breus' mole that indicates the pattern of single or multiple hematoma protrude above the chorionic plate was encountered. The case resembled a large fetal abdominal wall defect coexisting with a singleton live-born fetus at 27 weeks of gestational age is presented. The obstetric ultrasound showed that multiple coiled masses in the amniotic cavity, both the fetus and the placenta were normal. After two courses of tocolysis therapy, a healthy and, 1,400 g live-born infant was delivered through cesarean section due to fetal distress. Apgar scores at 1 and 5 min were 5 and 8, respectively. The infant died on postnatal day 6 due to severe respiratory distress and prematurity. This rare condition probably occurs frequently in missed abortion and the etiology is unknown, but is probably related to circulatory disturbance on maternal site. We report a rare clinical presentation and review the literature of Breus' mole.

译文

一名血压正常的孕妇,她没有胎盘早剥的历史危险因素,发现患有breus痣,表明单发或多发血肿在绒毛膜钢板上方突出。该病例类似于胎龄27周时与单胎活产胎儿并存的大胎儿腹壁缺损。产科超声显示羊膜腔内多发盘绕肿块,胎儿和胎盘均正常。经过两个疗程的围产期治疗后,由于胎儿窘迫,通过剖宫产分娩了健康且1,400g的活产婴儿。1分钟和5分钟的Apgar得分分别为5和8。由于严重的呼吸窘迫和早产,婴儿在出生后第6天死亡。这种罕见的情况可能经常发生在错过的流产中,病因尚不清楚,但可能与母体部位的循环障碍有关。我们报告了罕见的临床表现,并回顾了breus痣的文献。

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