Dual distant uterine placental insertion connected by a placental band. A case report.
BACKGROUND
There are several types of intrauterine membranes; most are not associated with any deleterious effect on fetal outcome.


METHODS
An unusual placental insertion was diagnosed sonographically at 23 weeks of gestation. It consisted of two distant placental insertions into the uterine wall, with a large placental mass between them floating freely in the uterine cavity. Normal fetal growth pattern and blood flow indices were found. A normal female neonate was delivered via low transverse cesarean section. There were no macroscopic or microscopic placental anomalies.


CONCLUSIONS
This case raises several questions: the right mode of delivery, frequency of ultrasound follow-up and possibility of placental band rupture and hemorrhage during vaginal delivery.
Silberstein
T
T
Department of Obstetrics and Gynecology, Ben-Gurion University Soroka Medical Center, Beer-Sheva, Israel.
Kivilevitz
T
T
Press
F
F
Goldstein
D
D
Hallak
M
M
D000328:Adult; D002585:Cesarean Section; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010920:Placenta / Q000002:abnormalities* / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D016216:Ultrasonography, Prenatal