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정주은 ( Ju Eun Jeong ),문수현 ( Soo Hyun Moon ),박경희 ( Kyung Hee Park ),신나리 ( Nari Shin ),이창훈 ( Chang Hun Lee ),김승철 ( Seung Chul Kim ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.1
Intraplacental choriocarcinoma is rare, and occasionally results in massive feto-maternal hemorrhage. We describe a case of an intraplacental choriocarcinoma diagnosed postpartum after a preterm cesarean delivery of a severely anemic newborn. The microscopic examination showed that clusters of malignant trophoblasts arose from residual normal chorionic villi and infi ltrated into the intervillous spaces, confirmed as intraplacental choriocarcinoma. Fetomaternal hemorrhage is a rare complication of choriocarcinoma but its presence should always warrant detailed examination of placenta, mother, and infant.
이창현 ( Chang Hyun Lee ),김재광 ( Jae Kwang Kim ),한명기 ( Myung Ki Han ),김정욱 ( Jeung Wook Kim ),이정주 ( Jung Ju Lee ) 대한주산의학회 2008 Perinatology Vol.19 No.2
Massive fetomaternal hemorrhage is major cause of neonatal anemia. And neonatal anemia is fatal disease of high mortality rate. Massive fetomaternal hemorrhage is defined as hemorrhage of fetal blood above 150 mL in the maternal circulation. Massive fetomaternal hemorrhage is infrequent but represents a fatal cause of perinatal death. To identify fetal blood in the maternal circulation, Kleihauer-Betke test or flow cytometry has been usually used. But recently HPLC (high performance liquid chromatography) is used in the detection and quantification of fetomaternal transfusion. In fetomaternal transfusion, anemic newborn must be treated when circulatory failure is present. Circulatory failure often necessitates blood transfusion. We report two cases of severe anemia due to massive fetomaternal hemorrhage in full term baby. Each case was diagnosed by high performance liquid chromatography and treated with exchange transfusion in order to avoid fluid overload and subsequent heart failure.
Massive Fetomaternal Hemorrhage Diagnosed with High-performance Liquid Chromatography
이지영,김경하,공섬김 대한소아혈액종양학회 2016 Clinical Pediatric Hematology-Oncology Vol.23 No.2
Massive fetomaternal hemorrhage (FMH) is a major cause of unexplained fetal death and neonatal anemia. FMH can be diagnosed using the Kleihauer-Betke test or flow cytometry by identifying the presence of fetal red cells in the maternal blood. However, timely diagnosis is a challenge because many hospitals lack the equipment needed to perform such tests. The authors experienced a case of FMH diagnosed via high-performance liquid chromatography (HPLC) which is generally used in measuring glycated hemoglobin (HbA1c) in a patient with unexplained neonatal anemia. A girl aged 2 days was transferred to our hospital for showing pallor and a hemoglobin level of 5.0 g/dL. HPLC revealed 3% fetal hemoglobin (HbF) in the maternal blood. HPLC is a quick test for quantifying HbF that is readily available in many hospitals and could serve as a promising alternative for diagnosing FMH.