Electronic poster abstractsaround the lacunae on Cine-loops and in B-Flow mode. The largest lacunae were 80 mm in diameter. It was noted that the myometrium was very thin at the site of the myomectomy. The woman's pregnancy course was complicated by gestational diabetes mellitus and pre-eclampsia. A Caesarean delivery was performed at 35.2 weeks gestation due to worsening pre-eclampsia. A live female infant weighing 2300g was delivered. The placenta was morbidly adherent. An emergent peripartum hysterectomy was performed with a 6000 mL blood loss. Histopathological studies of the placenta and uterus confirmed the diagnosis of placenta accreta with focal placenta increta. This case demonstrates the ultrasound signs of abnormally invasive placentation, and that pregnancy after arterial embolisation for leiomyomas may be associated with adverse pregnancy outcomes.
EP15.07Positive result of first trimester combined screening as a first sign of coexistence of normal and molar pregnancy: case report Complete molar pregnancy coexisting with normal fetus is very rare. Mostly early signs of molar pregnancy are easily visible in I trimester ultrasound: classic sonographic appearance is that of a solid collection of echoes with numerous small anechoic spaces. The absence or presence of a fetus or embryo is used to distinguish complete moles from partial moles.We present in our opinion first case of normal pregnancy coexisting with molar pregnancy, which manifested at first with positive combined I trimester screening test (PAPPA, beta-HCG, USG). Because of these results amniocentesis was performed. Fetal karyotyping revealed 46XX. Sonographic features of hydatidiform mole were detected late, in 18 week of pregnancy. The serum beta-HCG levels were about 144 000 mIU/mL from the diagnosis throughout the remainder of the pregnancy. A female, healthy infant and the molar tissue were delivered through Caesarean section at 32 weeks of gestation because of preterm membranes rupture. The histopathological report confirmed our diagnosis. Complications typical for complete molar pregnancy such as pre-eclampsia or severe bleeding did not occur in our patient. A pregnancy with a complete hydatidiform mole and a living co-twin can be a serious threat to the health of both the mother and the fetus, however pregnancy continuation and reaching fetal viability is possible in some cases.Supporting information can be found in the online version of this abstract After pregnancy loss vessels of the placental bed can persist and form a risk for severe hemorrhaging during curettage or hysteroscopy. A method is presented to reduce the risk of maternal bleeding in cases with vascular anomalies during curettage to remove retained products of pregnancy.A 33-year-old woman presented with vaginal bleeding and retained products of pregnancy. A hypervascularisation of the placental bed with high flow-velocities was detected. Magnetic resonance angiography excluded a congenital AV-Malformation, but verified the hypervascularisation. An embolisation of the...
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