Placenta Previa | Placenta Increta | Morbidly Adherent Placenta || Ultrasound || Doppler || Case 283

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Placenta Previa | Morbidly Adherent Placenta | Placenta Increta || Ultrasound || Doppler || Case 283

Clinical Features:
A 23 years old female patient came with
Amenorrhoea for 9 months
Pervaginal bleeding several times
Previous history of c/s

Ultrasound Features:
About 36+ week sized single live intrauterine pregnancy with cephalic presentation & adequate liquor.
Placenta is anterior with completely covering the cervical internal os.
Echogenic mass-like area with large, irregular, tornado-shaped lacunar vessels having turbulent flow on Doppler in the placental surface near the previous c/s scar with loss of normal retroplacental hypoechoic ‘clear zone’ & myometrium.
Intact perimetrium & urinary bladder wall.

Remember:
-Clinically similar & imaging can not differentiate, therefore newer terms used to describe spectrum include:
Morbidly adherent placentation (MAP)
Placental adhesive disorders
Abnormally invasive placenta
-Check the perimetrium as well as the bladder & rectal walls carefully with color Doppler to exclude invasion into those structures.

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