49 Complications of Pregnancy

CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSIS

EISENBERG

DR. Muhammad Bin Zulfiqar PGR-FCPS III SIMS/SHL

Fig GU 49-1 Blighted ovum. Sagittal scan identifies an enlarged gestational sac (S) without fetal echoes.27

• Fig GU 49-2 Incomplete abortion. Enlarged sagittal sonogram of the uterus (U) shows the retained products of conception and a nonviable fetus (arrowhead). (B, bladder.)27

Fig GU 49-3 Missed abortion. Sagittal scan of the uterus shows a nonviable fetus (F) and no definable placenta.27

• Fig GU 49-4 Incompetent cervix. Sagittal sonogram shows a shortened endocervical canal (arrowhead).27

• Fig GU 49-5 Ectopic pregnancy. (A) Transverse sonogram demonstrates the ectopic gestational sac in the left adnexa (arrowhead), outside the uterus (U). (B) Sagittal sonogram of the left adnexa identifies the gestational sac and the fetal pole (arrowhead).27

• Fig GU 49-6 Ectopic pregnancy. Sonogram demonstrates a late abdominal pregnancy with the skull (S) and abdomen (A) of the fetus outside the uterus (U).27

• Fig GU 49-7 Ectopic pregnancy. Transverse sonogram of the pelvis shows fluid in the cul-de-sac (arrowhead) in addition to the uterus (U) and the ectopic gestational sac (G). (B, bladder.)27

Fig GU 49-8 Trophoblastic disease. Sagittal sonogram of the pelvis shows a large mass (M) with cystic spaces filling the uterus. (B, bladder.)27

• Fig GU 49-9 Placenta previa (total). Sagittal midline sonogram in the last trimester shows the placenta (P) completely covering the internal cervical os (arrowhead). (F, fetus.)27

• Fig GU 49-10 Placenta previa (partial). Sagittal sonogram shows the placenta (P) partially covering the cervical os (arrowhead).27

• Fig GU 49-11 Abruptio placentae. Transverse sonogram shows abruptio with hematoma formation (arrow).27

• Fig GU 49-12 Coexisting leiomyoma. Sagittal sonogram demonstrates the pregnant uterus (arrowhead) and the hypoechoic mass (M).27

• Fig GU 49-13 Coexisting cystadenoma. Sagittal sonogram shows a large cystic mass (C) with septation (arrowhead) and a viable pregnancy.27