Traumatic placental abruption

Case contributed by RMH Core Conditions

Presentation

Motor vehicle accident

Patient Data

Age: 20 years
Gender: Female

Abdomen/Pelvis

ct

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

Slightly 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, and gallbladder. 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 hematoma. Widened cervical canal suggestive of the impending passage of intrauterine content.

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