title: Could Elastography Be Used in the Prediction of Morbidly Adherent Placentation?
abstract: Morbidly adherent placentation (MAP) is a condition in which the placenta is abnormally attached to the uterine myometrium. MAP is a complication of pregnancy that can cause significant morbidity to the mother and fetus and therefore early diagnosis is crucial in its management and prevention of adverse outcomes. Ultrasonography remains the primary diagnostic tool for MAP, with magnetic resonance imaging (MRI) serving as a secondary diagnostic modality. Elastography is a relatively new concept in ultrasound based imaging, which has found application in several fields of medicine, including obstetrics, primarily for evaluation of the firmness of cervical tissue in a preterm labour setting. We report a case on a patient who was diagnosed with placenta increta on ultrasound, aided by elastography and her subsequent management with an en bloc hysterectomy.
authors.affiliation: Obstetrics and Gynaecology, Gold Coast University Hospital, Southport, QLD, Australia.
authors.forename: Stacey
authors.identifier: 0000-0003-0286-4454
authors.initials: S
authors.lastname: Davie
authors.affiliation: Obstetrics and Gynaecology, Gold Coast University Hospital, Southport, QLD, Australia.
authors.forename: Wei Ling
authors.initials: WL
authors.lastname: Wong
authors.affiliation: Maternal Fetal Medicine Unit, Gold Coast University Hospital, Southport, QLD, Australia.
authors.forename: Teresa
authors.initials: T
authors.lastname: Clapham
authors.affiliation: Obstetrics and Gynaecology, Gold Coast University Hospital, Southport, QLD, Australia.
authors.forename: Donald
authors.initials: D
authors.lastname: Angstetra
authors.affiliation: Maternal Fetal Medicine Unit, Gold Coast University Hospital, Southport, QLD, Australia.
authors.forename: Rajit
authors.initials: R
authors.lastname: Narayan