Pre-placental haematoma

Case contributed by Dr Subash Thapa

Presentation

Regular ANC visit at 18 weeks of gestation. No complaints.

Patient Data

Age: 28 years
Gender: Female
Ultrasound

Single, live, intrauterine pregnancy of 19 weeks 3 days with regular fetal cardiac activity (FHR-148bpm)

Placenta is posterior.

There is a localized echogenic area measuring 37x46x33 mm (30.5ml) in between chorionic membrane and the fetal aspect of the placenta which shows no flow on color Doppler interrogation.

Case Discussion

Collection of blood between the chorionic membrane overlying the placenta and the villous chrorion (fetal aspect of the placenta) is term as preplacental hematoma 1.  The source of bleeding is possibly from fetal vessels and may be associated with maternal hypertension. They have less clinical significance. However, patient may present with vaginal bleeding or uterine contraction resulting in abortion, intrauterine growth restriction (IUGR), preterm labor, placental abruption and fetal distress.

On the other hand retroplacental haemorrhage is behind the placenta, separating placenta from the uterine wall.

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Case information

rID: 40082
Case created: 6th Oct 2015
Last edited: 23rd Sep 2017
System: Obstetrics
Inclusion in quiz mode: Included

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