Placenta previa with vasa previa

Case contributed by Dr Alexandra Stanislavsky

Presentation

Presenting with bleeding in 3rd trimester of pregnancy.

Patient Data

Age: 30 years
Gender: Female
Ultrasound

Selected images demonstrate that the placental leading edge reaches the internal cervical os (placenta previa). The umbilical vessels leave off from the placental leading edge and cross the internal os prior to entering the amniotic cavity (vasa previa with either marginal or velamentous cord insertion).  

Selected images demonstrating normal biometry.

Case Discussion

Ultrasound demonstrates a placenta previa and vasa previa due to either marginal or velamentous cord insertion.  

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