Traumatic placental abruption

Case contributed by RMH Core Conditions

Presentation

MVA

Patient Data

Age: 18 years old
Gender: Female
CT

Abdomen/Pelvis

Singleton intrauterine foetus is insitu. The anterior placenta is heterogeneous with large areas of non-enhancement suggestive of CT appearance of placental abruption. No large retro-placental haematoma. The cervical canal is widened to ~12mm although no products are seen within the canal.

Slight delayed nephrogram of the right kidney with mild pelvicalyceal prominence and pyelo-venous reflux seen in pregnancy.

No traumatic injury of the liver, spleen, pancreas, kidneys, gall bladder. No free intra-abdominal fluid or gas.

Minor anterior inferior abdominal wall subcutaneous fat stranding consistent with seat belt injury.

No pelvic ring fracture.

Case Discussion

Heterogeneous placenta with large areas of non-enhancement suggestive of CT appearance of placental abruption. No large retro-placental haematoma. Widened cervical canal suggestive of impending passage of intrauterine content.

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Case information

rID: 27758
Case created: 18th Feb 2014
Last edited: 22nd Jun 2017
Systems: Obstetrics, Trauma
Inclusion in quiz mode: Included

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