Document Detail

Unusual maternal vasculature in the placental periphery leading to the diagnosis of abdominal pregnancy at 25 weeks' gestation.
MedLine Citation:
PMID:  17436318     Owner:  NLM     Status:  MEDLINE    
Abdominal pregnancy is a rare condition in which the fetus and placenta are located within the peritoneal cavity. Sonographic findings include visualization of the fetus separate from the uterus, failure to visualize the uterine wall between the fetus and urinary bladder, close approximation of fetal parts to the maternal abdominal wall, eccentric position or abnormal fetal attitude, and visualization of extrauterine placental tissue. We present an unusual case in which mid-trimester transabdominal color Doppler sonographic findings depicted unusual maternal vasculature in the placental periphery leading to the diagnosis of abdominal pregnancy. Postpartum maternal angiography confirmed these vessels as abnormal maternal arterial perfusion of the extrauterine placenta emanating from the uterine arteries and inferior epigastric arteries. Systematic review of the literature confirms that this is the first report of such sonographic manifestations of an abdominal pregnancy.
David M Sherer; Mudar Dalloul; Constantine Gorelick; Mila Kheyman; Ehab Abdelmalek; Harry L Zinn; Ovadia Abulafia
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of clinical ultrasound : JCU     Volume:  35     ISSN:  0091-2751     ISO Abbreviation:  J Clin Ultrasound     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-05-09     Completed Date:  2007-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401663     Medline TA:  J Clin Ultrasound     Country:  United States    
Other Details:
Languages:  eng     Pagination:  268-73     Citation Subset:  IM    
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, State University of New York, Downstate Medical Center, 445 Lenox Road, Box 24, Brooklyn, NY 11203, USA.
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MeSH Terms
Neovascularization, Pathologic*
Placenta / abnormalities*,  blood supply*
Pregnancy Trimester, Second
Pregnancy, Abdominal / diagnosis*
Ultrasonography, Doppler, Color*
Ultrasonography, Prenatal*

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