Large Chorioangioma in Triplets: An Uncommon Occurrence

A 25-year-old primigravida presented at 26 weeks of gestation by dates, the first time for routine antenatal checkup. No histories were suggestive pregnancy-induced hypertension (PIH) and edema. On physical examination, pallor was present with microcytic hypochromic anemia. Raised beta-human chorionic gonadotropin (HCG) alpha-fetoprotein (AFP) levels present. Ultrasonography revealed triples two thin echogenic intertwining membranes. Anomaly scan did not reveal any abnormality in fetuses. The placenta showed a large oval hypoechoic mass arising from its edge bulge into amniotic fluid. central feeding vessel branching pattern pulsatile color flow like that umbilical artery is noted on Doppler. She spontaneously preterm delivered vaginally 28 gestation. All three fetuses stillborn. Histopathological diagnosis angiomatous chorioangioma confirmed. This case classically represents grave complication chorioangioma.