Re: Multiple hypoechoic areas in the placenta
From: James S. Smeltzer, MD (gaperina@mindspring.com)
Mon Apr 30 23:58:37 2001
Hi,
We have seen multiple flame-like lakes with streaming flow in several cases
of accreta - with no obliteration of the lucent area that I could detect.
One patient died of hemorrhage. Others have seen the same.
jim
>----- Original Message -----
From: "udaya kumar" <udaya@md2.vsnl.net.in>
To: "Multiple recipients of list ULTRASOUND"
<ultrasound@mail.medispecialty.com>
Sent: Tuesday, April 24, 2001 9:42 PM
Subject: Re: Multiple hypoechoic areas in the placenta
> 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.
>
