Re: Multiple hypoechoic areas in the placenta

From: udaya kumar (udaya@md2.vsnl.net.in)
Tue Apr 24 20:39:43 2001


Dear Terry Placenta Accreta would present with obliteration of the subplacental hypoechoic/sonolucent space. (Maternal venous sinusus get obliterated due to the adherence/invasion.) I cant see how and why Hypoechoic areas within the placental substance should help diagnose or coexist with Placenta Accreta . I think the case in question is either areas of intervillous thrombi or Placental lakes. ..Udayakumar

DuboseTerryJ@uams.edu wrote:

> With the hypoechoic areas also consider the possibility of Placenta Accreta.
> Particularly in an anterior placenta with a prior C Section or other uterine
> scaring in the anterior area.
>
> Terry J. DuBose, M.S., RDMS, Assistant Professor
> Director, Diagnostic Medical Sonography Program
> CHRP, University of Arkansas for Medical Sciences
> Little Rock, Arkansas, USA
> 501-686-6510
> http://www.io.com/~dubose/
> http://www.uams.edu/CHRP/dmshome.htm
> http://www.obgyn.net/us/panel/panel.htm
>
> -----Original Message-----
> From: Dr Fazeel uz Zaman [mailto:fazeel@atd.hazara.net.pk]
> Sent: Monday, April 23, 2001 3:22 PM
> To: Multiple recipients of list ULTRASOUND
> Subject: Re: Multiple hypoechoic areas in the placenta
>
> Usually these are venous lakes and are considered normal........Dr. Fazeel
>
> Dr Sarita Bhalerao wrote:
>
> > I`d like to know whether multiple hypoechoic areas in a placenta at 13
> > weeks gestation is suggestive of an aneuploidy and hence warrants
> > chorion villous biopsy.




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