Diagnosis of abnormally invasive posterior placentation: the role of MR imaging

Abnormally invasive placentation is becoming more common with a recent increase in cesarean sections and maternal age, among other risk factors. Ultrasonography is the first line-imaging, but it can be difficult to diagnose when limiting factors are present. Failure to recognize this serious placent...

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Main Authors: Madison R. Kocher, BS, Douglas H. Sheafor, MD, Evelyn Bruner, MD, Charles Newman, MD, Julio Fernando Mateus Nino, MD, PhD
Format: Article
Language:English
Published: Elsevier 2017-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043316303624
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author Madison R. Kocher, BS
Douglas H. Sheafor, MD
Evelyn Bruner, MD
Charles Newman, MD
Julio Fernando Mateus Nino, MD, PhD
author_facet Madison R. Kocher, BS
Douglas H. Sheafor, MD
Evelyn Bruner, MD
Charles Newman, MD
Julio Fernando Mateus Nino, MD, PhD
author_sort Madison R. Kocher, BS
collection DOAJ
description Abnormally invasive placentation is becoming more common with a recent increase in cesarean sections and maternal age, among other risk factors. Ultrasonography is the first line-imaging, but it can be difficult to diagnose when limiting factors are present. Failure to recognize this serious placental abnormality precludes us from making the appropriate plan for the delivery and consequently can lead to fatal results. In this report, we present a case in which magnetic resonance imaging was used to diagnose posterior placenta increta missed by multiple sonographic examinations in a patient with previous myomectomies, and we also include a review of the literature on this topic. It is our conclusion that magnetic resonance imaging is superior to sonography to diagnose abnormally invasive placentation in cases of posterior placenta previa and high pretesting probability.
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spelling doaj.art-4767f21c874e45759e9c4348a68119172022-12-22T02:03:59ZengElsevierRadiology Case Reports1930-04332017-06-0112229529910.1016/j.radcr.2017.01.014Diagnosis of abnormally invasive posterior placentation: the role of MR imagingMadison R. Kocher, BS0Douglas H. Sheafor, MD1Evelyn Bruner, MD2Charles Newman, MD3Julio Fernando Mateus Nino, MD, PhD4Department of Radiology, Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29425, USADepartment of Radiology, Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29425, USADepartment of Pathology, Medical University of South Carolina, USADepartment of Pathology, Medical University of South Carolina, USADepartment of Obstetrics and Gynecology, Medical University of South Carolina, USAAbnormally invasive placentation is becoming more common with a recent increase in cesarean sections and maternal age, among other risk factors. Ultrasonography is the first line-imaging, but it can be difficult to diagnose when limiting factors are present. Failure to recognize this serious placental abnormality precludes us from making the appropriate plan for the delivery and consequently can lead to fatal results. In this report, we present a case in which magnetic resonance imaging was used to diagnose posterior placenta increta missed by multiple sonographic examinations in a patient with previous myomectomies, and we also include a review of the literature on this topic. It is our conclusion that magnetic resonance imaging is superior to sonography to diagnose abnormally invasive placentation in cases of posterior placenta previa and high pretesting probability.http://www.sciencedirect.com/science/article/pii/S1930043316303624Abnormal invasive placentationMagnetic resonance imagingPosterior placenta previa
spellingShingle Madison R. Kocher, BS
Douglas H. Sheafor, MD
Evelyn Bruner, MD
Charles Newman, MD
Julio Fernando Mateus Nino, MD, PhD
Diagnosis of abnormally invasive posterior placentation: the role of MR imaging
Radiology Case Reports
Abnormal invasive placentation
Magnetic resonance imaging
Posterior placenta previa
title Diagnosis of abnormally invasive posterior placentation: the role of MR imaging
title_full Diagnosis of abnormally invasive posterior placentation: the role of MR imaging
title_fullStr Diagnosis of abnormally invasive posterior placentation: the role of MR imaging
title_full_unstemmed Diagnosis of abnormally invasive posterior placentation: the role of MR imaging
title_short Diagnosis of abnormally invasive posterior placentation: the role of MR imaging
title_sort diagnosis of abnormally invasive posterior placentation the role of mr imaging
topic Abnormal invasive placentation
Magnetic resonance imaging
Posterior placenta previa
url http://www.sciencedirect.com/science/article/pii/S1930043316303624
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