Placenta accreta: Additional sonographic observations

J. C. Hoffman-Tretin, Mordecai Koenigsberg, A. Rabin, A. Anyaegbunam

Research output: Contribution to journalArticle

65 Citations (Scopus)

Abstract

Recent reports describe the antenatal sonographic diagnosis of placenta accreta based on failure to visualize a hypoechoic zone at the placental margin. This finding was confirmed in our series of seven cases. New observations in this series include prominent large or multiple placental venous lakes and periuterine vascularity in six of seven cases, and progressive thinning and disappearance of the retroplacental hypoechoic zone on sequential examinations in two of seven cases. Loss of normal venous flow pattern on Doppler interrogation of the peripheral placental margin also appeared to be of value in two patients. Histologic correlates for these findings are suggested on the basis of the primary histopathologic feature of placenta accreta: deficiency of the decidua basalis. Differential diagnostic considerations, including abdominal pregnancy and trophoblastic disease, also are discussed.

Original languageEnglish (US)
Pages (from-to)29-34
Number of pages6
JournalJournal of Ultrasound in Medicine
Volume11
Issue number1
StatePublished - 1992

Fingerprint

Placenta Accreta
margins
Abdominal Pregnancy
Decidua
pregnancy
interrogation
Lakes
Prenatal Diagnosis
lakes
flow distribution
examination

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Acoustics and Ultrasonics
  • Radiological and Ultrasound Technology

Cite this

Hoffman-Tretin, J. C., Koenigsberg, M., Rabin, A., & Anyaegbunam, A. (1992). Placenta accreta: Additional sonographic observations. Journal of Ultrasound in Medicine, 11(1), 29-34.

Placenta accreta : Additional sonographic observations. / Hoffman-Tretin, J. C.; Koenigsberg, Mordecai; Rabin, A.; Anyaegbunam, A.

In: Journal of Ultrasound in Medicine, Vol. 11, No. 1, 1992, p. 29-34.

Research output: Contribution to journalArticle

Hoffman-Tretin, JC, Koenigsberg, M, Rabin, A & Anyaegbunam, A 1992, 'Placenta accreta: Additional sonographic observations', Journal of Ultrasound in Medicine, vol. 11, no. 1, pp. 29-34.
Hoffman-Tretin, J. C. ; Koenigsberg, Mordecai ; Rabin, A. ; Anyaegbunam, A. / Placenta accreta : Additional sonographic observations. In: Journal of Ultrasound in Medicine. 1992 ; Vol. 11, No. 1. pp. 29-34.
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