Chorionic bump
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Chorionic bump is a rare medical condition defined as an irregular, convex bulge or protrusion from the choriodecidual surface into the gestational sac.{{Cite journal |last1=Yousaf |first1=Amman |last2=Tayyab |first2=Ahmad |last3=Anil |first3=Muhammad Sana Ullah |last4=Ahmed |first4=Mohamed Mohamed Helmi |last5=Sr |first5=Sana Sayed Hussein Badr Ahmed Ahmed |last6=Alobadli |first6=Amal |last7=Yousaf |first7=Amman |last8=Tayyab |first8=Ahmad |last9=Anil |first9=Muhammad S. |last10=Ahmed |first10=Mohamed Mohamed Helmi |last11=Sr |first11=Sana Sayed Hussein Badr Ahmed Ahmed |last12=Alobadli |first12=Amal |display-authors=4 |date=2020-11-14 |title=Chorionic Bump: Radiologic Features and Pregnancy Outcomes |journal=Cureus |language=en |volume=12 |issue=11 |pages=e11480 |doi=10.7759/cureus.11480 |doi-access=free |issn=2168-8184 |pmc=7735167 |pmid=33329976}}{{Cite journal |last1=Liu |first1=Emily |last2=Noor |first2=Abdul |last3=Pereira |first3=Nigel |date=2024-07-01 |title=Chorionic Bump: An Early Marker for Miscarriage and Embryonic Aneuploidy? |url=https://linkinghub.elsevier.com/retrieve/pii/S1701216324003992 |journal=Journal of Obstetrics and Gynaecology Canada |language=English |volume=46 |issue=7 |doi=10.1016/j.jogc.2024.102576 |issn=1701-2163 |pmid=38852808|url-access=subscription }} It is medically defined as a separate entity from a chorionic hematoma.{{Cite journal |last1=Sana |first1=Y. |last2=Appiah |first2=A. |last3=Davison |first3=A. |last4=Nicolaides |first4=K. H. |last5=Johns |first5=J. |last6=Ross |first6=J. A. |display-authors=4 |date=2013 |title=Clinical significance of first-trimester chorionic bumps: a matched case–control study |url=https://obgyn.onlinelibrary.wiley.com/doi/10.1002/uog.12528 |journal=Ultrasound in Obstetrics & Gynecology |volume=42 |issue=5 |pages=585–589 |doi=10.1002/uog.12528 |pmid=23733598 |issn=1469-0705}}
Identification of a chorionic bump in early first trimester pregnancy represents a significant risk factor for pregnancy loss, given a live birth rate of less than 50%.{{Cite journal |last1=Harris |first1=Robert D. |last2=Couto |first2=Corey |last3=Karpovsky |first3=Clara |last4=Porter |first4=Misty M. Blanchette |last5=Ouhilal |first5=Sophia |display-authors=4 |date=2006 |title=The Chorionic Bump |url=https://onlinelibrary.wiley.com/doi/10.7863/jum.2006.25.6.757 |journal=Journal of Ultrasound in Medicine |language=en |volume=25 |issue=6 |pages=757–763 |doi=10.7863/jum.2006.25.6.757 |pmid=16731892 |issn=1550-9613|url-access=subscription }} The incidence rate for chorionic bump is estimated to be between 1.5 and 7 per 1000 pregnancies.
Cause and diagnosis
It is believed that chorionic bump can start as a hematoma in the intervillous space.{{Cite journal |last1=Younesi |first1=Ladan |last2=Shahnazari |first2=Razieh |date=2017-12-01 |title=Chorionic Bump in First-trimester Sonography |journal=Journal of Medical Ultrasound |volume=25 |issue=4 |pages=221–226 |doi=10.1016/j.jmu.2017.04.004 |issn=0929-6441 |pmc=6029338 |pmid=30065496}} Additionally, Infertility treatments may be associated with increased likelihood of chorionic bump.
Prognosis and treatment
Existing literature suggests that chorionic bump causes first trimester pregnancy loss and doubles the miscarriage rate as compared to having no risk factors.