A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case report
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 asso...
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | BMC Pregnancy and Childbirth |
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| Online Access: | https://doi.org/10.1186/s12884-024-06391-5 |
| _version_ | 1827309974341025792 |
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| author | Pei-Tzu Wu Kun-Long Huang Ching-Chang Tsai Hsin-Hsin Cheng Yun-Ju Lai Te-Yao Hsu |
| author_facet | Pei-Tzu Wu Kun-Long Huang Ching-Chang Tsai Hsin-Hsin Cheng Yun-Ju Lai Te-Yao Hsu |
| author_sort | Pei-Tzu Wu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T19:51:12Z |
| format | Article |
| id | doaj.art-f2965f436268421082d002df8dde9c11 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-24T19:51:12Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-f2965f436268421082d002df8dde9c112024-03-24T12:36:47ZengBMCBMC Pregnancy and Childbirth1471-23932024-03-012411710.1186/s12884-024-06391-5A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case reportPei-Tzu Wu0Kun-Long Huang1Ching-Chang Tsai2Hsin-Hsin Cheng3Yun-Ju Lai4Te-Yao Hsu5Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineDepartment of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of MedicineAbstract 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.https://doi.org/10.1186/s12884-024-06391-5Ritodrine hydrochlorideRhabdomyolysisMirror syndrome.Placenta chorioangiomaHydrops fetalisAcute liver injury |
| spellingShingle | Pei-Tzu Wu Kun-Long Huang Ching-Chang Tsai Hsin-Hsin Cheng Yun-Ju Lai Te-Yao Hsu A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case report BMC Pregnancy and Childbirth Ritodrine hydrochloride Rhabdomyolysis Mirror syndrome. Placenta chorioangioma Hydrops fetalis Acute liver injury |
| title | A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case report |
| title_full | A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case report |
| title_fullStr | A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case report |
| title_full_unstemmed | A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case report |
| title_short | A singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine-induced side effects: a case report |
| title_sort | singleton pregnancy with placental chorioangioma and hydrops fetalis complicated with mirror syndrome and ritodrine induced side effects a case report |
| topic | Ritodrine hydrochloride Rhabdomyolysis Mirror syndrome. Placenta chorioangioma Hydrops fetalis Acute liver injury |
| url | https://doi.org/10.1186/s12884-024-06391-5 |
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