Abruptio placenta

S.Manohar, MD, DMRD

Madurai, India.

This is a third trimester ultrasound examination of a G2 P1 who presented with pain in the flanks and back. She has no history of pregnancy induced hypertension or diabetes or prior obstetric complications. Ultrasound revealed intrauterine fetal death with reduced amniotic fluid around the fetus and large complex echogenic areas in retroplacental area - representing abruptio placenta with large retroplacental hemorrhage.

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The patient underwent termination of pregnancy and postnatal photographs of placenta showed large clots in the retroplacental region. The cause of abruption could not be found.

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