Description

A 24-year-old female at 28 weeks period of gestation referred to our emergency with history of preeclampsia and increased umbilical artery pulsatility index with no history of bleeding per vaginum was detected with partial separation of placenta (asterisk) and bleeding spiral arterioles (arrow) (Figure 1) with a single live fetus of 900 gms on ultrasonography. On examination, her vitals were stable, uterus corresponded to 28 weeks, non-tender, relaxed and fetal heart was present. Subsequent monitoring revealed increased area of separation and patient underwent emergency cesarean in anticipation of complete separation of placenta. Intraoperatively, the placenta was completely separated, and bleeders were secured.

Figure 1: Clinical image.