Chorionic Haematoma

Pooling of blood between the chorion, a membrane surrounding the embryo, and the uterine wall

Aetiology

  • Can be caused by separation of the chorion from the endometrium

Pathophysiology

notion image

Clinical presentation

  • Bleeding
  • Cramping
  • Threatened miscarriage
  • Symptoms and course follow size and perpetuation
  • Large haematomas may be source of infection, irritability (causing cramping) and miscarriage

Investigations

  • Ultrasound

Management

  • Usually self-limiting and resolve
  • Reassurance important but surveillance should remain