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Abruptio placenta: sonographic and pathologic correlation.

B A Spirt, E H Kagan, R M Rozanski

    AJR. American Journal of Roentgenology
    |November 1, 1979
    PubMed
    Summary
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    Ultrasound may miss abruptio placenta if bleeding is external. A positive diagnosis shows a retroplacental hematoma or one beneath the membranes, confirmed by pathology.

    Area of Science:

    • Obstetrics and Gynecology
    • Medical Imaging
    • Pathology

    Background:

    • Abruptio placenta is a serious obstetric complication.
    • Early diagnosis is crucial for maternal and fetal outcomes.
    • Ultrasound is a primary diagnostic tool.

    Observation:

    • External bleeding in abruptio placenta can lead to negative ultrasound findings.
    • Sonography may reveal retroplacental hematoma.
    • Hematoma dissecting beneath chorionic membranes is another sonographic sign.

    Findings:

    • Six cases of abruptio placenta are presented.
    • Correlation between sonographic findings and pathologic results is examined.
    • Ultrasound can identify specific hematoma formations in abruptio placenta.

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    Implications:

    • Highlights limitations of ultrasound in diagnosing abruptio placenta.
    • Emphasizes the importance of considering clinical presentation alongside imaging.
    • Suggests ultrasound can be valuable when specific hematomas are visualized.