2005-11-15-16 Vasa previa © Cuillier www.thefetus.net/
Vasa previa with bipartita placenta
Cuillier F, MD*,Carasset G, MD#, Lemaire P$, Deshayes M$, Rivière JP, MD*
*Hôpital Félix Guyon, #Saint Clotild clinic, $Moufia street, SAINT DENIS, Reunion Island, France
This patient was sent to our unit for metrorrhagia. This was her second pregnancy. We performed a sonography at 36 weeks and we found an anterior placenta. There was another lobe (posterior localization) and between these two, a vasa previa. A velamentous insertion of the cord was inserted behind the cervix (Figure 1). We performed a 3D sonography (Figure 2, 3, 4, 5). A low transverse cesarean section was performed through the anterior placenta. We discovered another lobe and a velamentous cord insertion (Figure 6.7). The baby was safe with no fetal hemorrhage.
Figure 1: 2D view (sagittal view) showing the vasa previa
Figures 2 and 3 : 3D view (sagittal view) showing the vasa previa:
Figures 4 : 3D view (sagittal view) showing the vasa previa
Figure 5 : 3D view (coronal view) showing the vasa previa
Figure 6: View of two parts of placenta and between them the cord.
Figure 7: Vasa previa and the cord with velamentous insertion.