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Case 81 - A 20-Year-Old at 22 Weeks’ Gestation with Circumvallate Placenta on Ultrasound

from Section 9 - Placental Complications

Published online by Cambridge University Press:  08 April 2025

Peter F. Schnatz
Affiliation:
The Reading Hospital, Pennsylvania
D. Yvette LaCoursiere
Affiliation:
University of California, San Diego
Christopher M. Morosky
Affiliation:
University of Connecticut School of Medicine
Jonathan Schaffir
Affiliation:
The Ohio State University College of Medicine
Vanessa Torbenson
Affiliation:
Mayo Clinic Alix School of Medicine
David Chelmow
Affiliation:
Virginia Commonwealth School of Medicine
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Summary

Circumvallate placenta is a placental anomaly that results in the basal plate (maternal side) of the placenta being larger than the chorionic plate (fetal side). It is a difficult condition to accurately diagnose prenatally and may or may not be clinically significant to the patient. Ultrasound findings can be misleading and difficult to interpret. Patients with symptoms of bleeding during mid-gestation, increase in watery discharge, and ultrasound findings consistent with circumvallate placenta are more likely to have complications of the condition. Complications include growth restriction, preterm labor, and abruption. Due to the concern for these complications, some providers will opt to monitor the pregnancy with growth ultrasounds.

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