Korean J Obstet Gynecol.  2010 Mar;53(3):282-286. 10.5468/kjog.2010.53.3.282.

A case of placental abruption diagnosed at 31 weeks by ultrasonography in bicornuate uterus

Affiliations
  • 1Department of Obstetrics and Gynecology, Soonchunhyang University College of Medicine, Soonchunhyang University Chunan Hospital, Chunan, Korea. drsook@schca.ac.kr

Abstract

Placental abruption is defined as the early separation a normal placenta from the wall of the uterus before delivery of the fetus. The incidence of it is known 1% of all pregnancies and perinatal mortality rates from abruption range from 20% to 40% in recent studies. The most common symptom is vaginal bleeding. The causes are associated with preeclampsia, other hypertensive disorders, and premature rupture of membranes. It is diagnosed by clinical symptom, sign, and ultrasonography. Recently we have experienced a case of placental abruption diagnosed at 31 weeks by ultrasonography in bicornuate uterus with a brief review of the literature.

Keyword

Placental abruption; Ultrasonography; Bicornuate uterus

MeSH Terms

Abruptio Placentae
Female
Fetus
Incidence
Membranes
Perinatal Mortality
Placenta
Pre-Eclampsia
Pregnancy
Rupture
Uterine Hemorrhage
Uterus

Figure

  • Figure 1 Transvaginal ultrasonography showing an short cervix (11 mm) and funneling sign.

  • Figure 2 Transvaginal ultrasonography showed 34×17 mm sized detached hyperechoic placenta in front of fetal head, adjacent to margin of placenta.

  • Figure 3 Transabdominal sonogram revealed two endometrial lumens of uterus 4 days after postpartum.


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