Intrauterine Growth Restriction Associated with Hematologic Abnormalities: Probable Manifestations of Placental Mesenchymal

Placental mesenchymal dysplasia (PMD) is a rare vascular disease first described byMoscoso et al in 1991.1 The differen-tial diagnosis should bewith amolar pregnancy because of the similarity of the ultrasound findings: placentomegaly with grape-like vesicles.1 Pregnancies with PMD may have an unfavorable evolution.2 In some cases there are hematologic abnormalities in the neonates possibly related to consumptive coagulopathy and hemolytic anemia caused by a hypervascu-lar placenta.3–5 We present a case of a fetus with intrauterine growth restriction and cerebellar hemorrhagic injury diag-nosed in the 20thweek of pregnancy. Intrauterine fetal demise occurred in the 26th week. The histological studies performed revealed a placental mesenchymal dysplasia. Case Report A 31-year-old pregnant womanwho has had three previou