This is an Author’s preprint of an article published in Ultrasound in Obstetrics and Gynecology, 2009,Apr;33(4):484-6. The original published version is available at: http://onlinelibrary.wiley.com/doi/10.1002/uog.6348/pdf
[en] Amniotic fluid 'sludge' is defined as the presence of dense aggregates of particulate matter in close proximity to the internal cervical os. It is of clinical significance in asymptomatic patients at high risk for spontaneous delivery, and in patients with preterm labor and intact membranes. Subchorionic hematoma is another ultrasound finding that is associated with a higher incidence of threatened miscarriage and preterm delivery. We report two cases of occurrence of amniotic fluid sludge in patients with previously detected large subchorionic hematoma. In the first case subchorionic hematoma and amniotic fluid sludge were detected by ultrasonography at 13 + 1 and 18 + 6 weeks' gestation, respectively, followed by preterm premature rupture of membranes, placental abruption and emergency Cesarean section. In the second case subchorionic hematoma and amniotic fluid sludge were detected by ultrasound at 11 + 3 and 15 + 5 weeks' gestation, respectively, followed by miscarriage with histological chorioamnionitis. The coincidence of subchorionic hematoma and amniotic fluid sludge in these cases points to a possible connection between these two significant ultrasound findings.
Disciplines :
Reproductive medicine (gynecology, andrology, obstetrics)
Author, co-author :
Tskitishvili, Ekaterine ; Université de Liège - ULiège > Département des sciences cliniques > Labo de biologie des tumeurs et du développement > Osaka University Graduate School of Medicine, Department of Obstetrics and Gynecology
Tomimatsu, Takuji; Osaka University Graduate School of Medicine > Department of Obstetrics and Gynecology
Kanagawa, Takeshi; Osaka University Graduate School of Medicine > Department of Obstetrics and Gynecology
Sawada, Kenji; Osaka University Graduate School of Medicine > Department of Obstetrics and Gynecology
Kinugasa, Yukiko; Osaka University Graduate School of Medicine > Department of Obstetrics and Gynecology
Mimura, Kazuya; Osaka University Graduate School of Medicine > Department of Obstetrics and Gynecology
Kimura, Tadashi; Osaka University Graduate School of Medicine > Department of Obstetrics and Gynecology
Language :
English
Title :
Amniotic fluid 'sludge' detected in patients with subchorionic hematoma: a report of two cases.
Publication date :
2009
Journal title :
Ultrasound in Obstetrics and Gynecology
ISSN :
0960-7692
eISSN :
1469-0705
Publisher :
John Wiley & Sons Ltd., Chichester, United Kingdom
Volume :
33
Issue :
4
Pages :
484-6
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
(c) 2009 ISUOG. Published by John Wiley & Sons, Ltd.
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