A 30-Year-Old Woman With an Abnormal Fetal Ultrasound

Craig Johnson, DO; Zachary Redus; Michael Mader, MD; Frederick Eruo, MD, MPH

Disclosures

April 25, 2017

Editor's Note:
The Case Challenge series includes difficult-to-diagnose conditions, some of which are not frequently encountered by most clinicians but are nonetheless important to accurately recognize. Test your diagnostic and treatment skills using the following patient scenario and corresponding questions. If you have a case that you would like to suggest for a future Case Challenge, please contact us.

Background

A 30-year-old gravida 3, para 2 patient who is 23 weeks pregnant presents to the maternal/fetal medicine department. She was referred to the department at the request of her primary obstetrician after an obstetric ultrasound demonstrated complete placenta previa.

The patient had two prior pregnancies that were complicated by complete placenta previa. Both of these pregnancies were delivered by low transverse cesarean section.

The patient has no other surgical history or significant medical history. She has no known allergies and is not currently taking medications. She does not report any vaginal bleeding. She has no abdominal pain, cramps, or contractions.

Quickening was first noted at 19 weeks' gestation, and she continues to feel regular fetal movement. She denies having any vaginal discharge or leakage of fluid. She has no other symptoms.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....