Succenturiate lobe of placenta

Case contributed by Alexandra Stanislavsky
Diagnosis almost certain

Presentation

Antenatal scan at 23 weeks

Patient Data

Age: 23 weeks gestation
Gender: Female
ultrasound

Evaluation of the placenta during a singleton second trimester ultrasound demonstrates the main body of the placenta positioned along the posterior uterine wall.  A separate placental lobe is seen anteriorly, with the connecting vessels extending across the fundus. 

Case Discussion

Appearance is consistent with a succenturiate placenta.

Importantly, greyscale and color images of the internal os are obtained to demonstrate that there is no vascular connection across the os (i.e. no vasa previa).

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