Placenta circumvallate

Gloria Valero de Madrid, MD Philippe Jeanty, MD, PhD

Also called circumvallata (= surrounded by a wall).  These are placenta that are a form of placenta extrachorialis, unusual in humans but common in chimpanzee and orang-utan. They are usually benign condition requiring no alteration of management and simply have to be differentiated from other type of bands and membranes in the uterine cavity.

placen1

Sonographic criteria of identification include irregular edge, uplifted margin, or placental sheet or shelf resulting from the infolding of the fetal membrane upon the fetal surface of the placenta during the middle of the second trimester. The last criteria being the easiest to identify, is illustrated in several images below.

Case #1

1circumv1
1circumv2

1circumv3
1circumv4

1circumv5
1circumv6

Case #2

2circumv1
2circumv2

2circumv3
2circumv4

Case #3

3circumv2
3circumv1

3circumv3

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