Could Elastography Be Used in the Prediction of Morbidly Adherent Placentation?. (14th November 2016)

• Record Type: Journal Article
• Authors: Davie, Stacey; Wong, Wei Ling; Clapham, Teresa; Angstetra, Donald; Narayan, Rajit
• Other Names: Geary Michael Academic Editor.
• Is Part Of: Case reports in obstetrics and gynecology. Volume 2016(2016)
• Publication Date: 2016-11-14
• Subjects: Obstetrics -- Periodicals; Gynecology -- Periodicals; Generative organs, Female -- Diseases -- Periodicals; Obstetrics; Gynecology; Genital Diseases, Female; Generative organs, Female -- Diseases; Gynecology; Obstetrics; Electronic journals; Periodicals; Periodicals; 618
• DOI: 10.1155/2016/4909431
• Languages: English
• ISSNs: 2090-6684

Abstract

Abstract : Morbidly adherent placentation (MAP) is a condition in which the placenta is abnormally attached to the uterine myometrium. MAP is a complication of pregnancy that can cause significant morbidity to the mother and fetus and therefore early diagnosis is crucial in its management and prevention of adverse outcomes. Ultrasonography remains the primary diagnostic tool for MAP, with magnetic resonance imaging (MRI) serving as a secondary diagnostic modality. Elastography is a relatively new concept in ultrasound based imaging, which has found application in several fields of medicine, including obstetrics, primarily for evaluation of the firmness of cervical tissue in a preterm labour setting. We report a case on a patient who was diagnosed with placenta increta on ultrasound, aided by elastography and her subsequent management with an en bloc hysterectomy.