Obstetric Imaging: Fetal Diagnosis and Care

Cord Varix

Introduction Although umbilical vascular anomalies are congenital malformations seen commonly, venous abnormalities of the umbilical vein, such as an umbilical cord varix, are rare. The widespread use of routine sonography has facilitated the prenatal diagnosis of umbilical vein varix (UVV),…

Cord Cyst

Introduction The widespread use of high-resolution ultrasound (US) in routine obstetric care has led to greater detection of placental and umbilical cord abnormalities. Cysts of the umbilical cord have been reported in all trimesters. The clinical significance and prognosis of…

Placenta Circumvallata

Introduction Circumvallate placenta is a placental anomaly in which the membranous chorion transitions to a villous chorion, not at the placental edge, but at an area inward from the placental margins, closer to the insertion of the umbilical cord. This…

Choriocarcinoma

Introduction Malignant gestational trophoblastic disease (GTD) occurs when there is clinical, radiologic, pathologic, or hormonal evidence of persistent trophoblastic tissue, or abnormal growth of trophoblastic tissue. This is most commonly diagnosed after a molar pregnancy, but it can occur after…

Chorioangioma

Introduction Chorioangiomas are the most common histologic type of placental tumor. They are usually well circumscribed, vascular, and predominantly hypoechoic, ranging from microscopic to several centimeters in diameter. Disease Prevalence and Epidemiology Chorioangiomas are found in 0.5% to 1% of…

Amniotic Band Sequence

Introduction Amniotic band sequence (ABS) refers to a broad group of highly variable congenital anomalies involving multiple fetal structures. Embryologically normal fetal structures become entangled in amniotic bands, leading to constriction, disruption, and malformation defects. The term sequence describes this…

Placenta Accreta

Introduction The rising rates of cesarean delivery in recent years have led to an increase in the diagnosis of placenta accreta, increta, and percreta. Also referred to as morbidly adherent placenta or abnormally invasive placentation, this spectrum of conditions refers…

Placental Abruption

Introduction Placental abruption complicates a small fraction of pregnancies but has the potential to carry major maternal and fetal morbidity. As this entity is diagnosed clinically, imaging plays a limited role in diagnosis and management, which varies based on gestational…

Arrhythmias

Introduction Arrhythmia is defined as any abnormality in normal heart rhythm. Fetal arrhythmias include regular heart rates less than 100 beats/min or greater than 180 beats/min, or any irregularity in fetal heart rate in the absence of uterine contractions. Fetal…

Cardiac Tumors

Introduction Cardiac tumors are rare and usually benign with few cardiac complications; most are asymptomatic and eventually involute. Cardiac complications include arrhythmias, obstruction of the ventricular outflow tracts, and secondary cardiogenic shock leading to fetal hydrops and death. Prenatal diagnosis…