Sonographic Diagnosis of Chronic Abruption |
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| Authors: | Melissa Walker Wendy Whittle Sarah Keating John Kingdom |
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| Affiliation: | 1. Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, ON;2. Department of Pathology and Laboratory Medicine, Mount Sinai Hospital, University of Toronto, Toronto, ON;1. Department of Obstetrics and Gynecology, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria;2. Department of Community Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Nigeria;3. Department of Obstetrics and Gynecology, Anambra State University Teaching Hospital, Awka, Nigeria;4. Department of Obstetrics and Gynecology, Michigan State University/Sparrow Hospital, Lansing, USA;1. University of Duisburg-Essen, Institute for Metal and Lightweight Structures, 45141 Essen, Germany;2. ThyssenKrupp Steel Europe AG, Heavy Plate Unit, Quality Affairs/Research and Development, 47259 Duisburg, Germany |
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| Abstract: | BackgroundPlacental abruption is usually an acute event in which clinical decision-making overrides the need for ultrasound imaging. By contrast, chronic abruption may present with vague or even confusing clinical findings. We describe a case in which the diagnosis of chronic abruption was established by ultrasound and the findings directly influenced clinical care.CaseA 30-year-old woman with asymptomatic preeclampsia was evaluated in our fetal medicine unit at 30 weeks’ gestation. Despite normal fetal monitoring, a large, retroplacental sonolucent area was noted on ultrasound. A planned Caesarean section was performed two days later, despite normal daily fetal monitoring, because the mass had increased in size. Placental pathology confirmed the diagnosis of chronic abruption.ConclusionUltrasound may establish the diagnosis of a large chronic placental abruption that is relevant for clinical management. |
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