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A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case report.
Wu, Pei-Tzu; Huang, Kun-Long; Tsai, Ching-Chang; Cheng, Hsin-Hsin; Lai, Yun-Ju; Hsu, Te-Yao.
Afiliação
  • Wu PT; Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan.
  • Huang KL; Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan.
  • Tsai CC; Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan.
  • Cheng HH; Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan.
  • Lai YJ; Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan.
  • Hsu TY; Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta-Pei Road, Niao Sung District, Kaohsiung, 833, Taiwan. tyhsu@cgmh.org.tw.
BMC Pregnancy Childbirth ; 24(1): 213, 2024 Mar 20.
Article em En | MEDLINE | ID: mdl-38509456
ABSTRACT

BACKGROUND:

Ritodrine hydrochloride is a widely used beta-adrenergic agonist used to stop preterm labor in Taiwan. Many side effects causing maternal morbidity and mortality have been reported. We report a case complicated with ritodrine-induced side effects and mirror syndrome that was associated with placental chorioangioma. CASE PRESENTATION A 36-year-old singleton pregnant woman at 25 6/7 weeks of gestation, with an undiagnosed placental chorioangioma, underwent tocolysis due to preterm uterine contractions. Her clinical condition deteriorated, attributed to mirror syndrome and adverse events induced by ritodrine. An emergency cesarean section was performed at 27 1/7 weeks of gestation, delivering an infant with generalized subcutaneous edema. A placental tumor measuring 8.5 cm was discovered during the operation, and pathology confirmed chorioangioma. Gradual improvement in her symptoms and laboratory data was observed during the postpartum period. Identifying mirror syndrome and ritodrine-induced side effects poses challenges. Therefore, this case is educational and warrants discussion.

CONCLUSION:

Our case demonstrates mirror syndrome induced by chorioangioma, which is rare, and ritodrine-induced side effects. The cessation of intravenous ritodrine and delivery are the best methods to treat maternal critical status due to fluid overload.
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Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 2_ODS3 Base de dados: MEDLINE Assunto principal: Ritodrina / Hemangioma / Trabalho de Parto Prematuro Limite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: BMC Pregnancy Childbirth Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Contexto em Saúde: 2_ODS3 Base de dados: MEDLINE Assunto principal: Ritodrina / Hemangioma / Trabalho de Parto Prematuro Limite: Adult / Female / Humans / Newborn / Pregnancy Idioma: En Revista: BMC Pregnancy Childbirth Ano de publicação: 2024 Tipo de documento: Article