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Five‐year follow‐up of placental involution after abdominal pregnancy

Five‐year follow‐up of placental involution after abdominal pregnancy A 29‐year‐old woman with an abdominal pregnancy was admitted to the hospital at 29 weeks' menstrual age. At 30 weeks, laparotomy was performed, and a live fetus, wrapped in membrane remnants, was taken from the abdominal cavity. The placenta, inserted in the right hemipelvis, was left in situ. The patient's postoperative recovery was uneventful, and she was monitored periodically as follow‐up. At her 5‐year follow‐up visit, we assessed placental involution by measuring serum β human chorionic gonadotropin and by using color and pulsed Doppler sonography. The dynamics of the regression of placental volume yielded a bimodal curve: a phase of decrease over the first 2 months, coincident with a reduction in vascularization, followed by stability that lasted 6–8 months, and a second phase of gradual volume reduction. At 5 years, the placenta appeared as a small residual echogenic mass with no vascularity. The use of MRI in this case provided no additional information to what we found using sonography. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 31:39–43, 2003 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Five‐year follow‐up of placental involution after abdominal pregnancy

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References (17)

Publisher
Wiley
Copyright
Copyright © 2003 Wiley Periodicals, Inc.
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.10124
pmid
12478651
Publisher site
See Article on Publisher Site

Abstract

A 29‐year‐old woman with an abdominal pregnancy was admitted to the hospital at 29 weeks' menstrual age. At 30 weeks, laparotomy was performed, and a live fetus, wrapped in membrane remnants, was taken from the abdominal cavity. The placenta, inserted in the right hemipelvis, was left in situ. The patient's postoperative recovery was uneventful, and she was monitored periodically as follow‐up. At her 5‐year follow‐up visit, we assessed placental involution by measuring serum β human chorionic gonadotropin and by using color and pulsed Doppler sonography. The dynamics of the regression of placental volume yielded a bimodal curve: a phase of decrease over the first 2 months, coincident with a reduction in vascularization, followed by stability that lasted 6–8 months, and a second phase of gradual volume reduction. At 5 years, the placenta appeared as a small residual echogenic mass with no vascularity. The use of MRI in this case provided no additional information to what we found using sonography. © 2002 Wiley Periodicals, Inc. J Clin Ultrasound 31:39–43, 2003

Journal

Journal of Clinical UltrasoundWiley

Published: Jan 1, 2003

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