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Multiple Gestations (CT)

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This is a CT of the abdomen and pelvis in a

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patient with a multiple gestation pregnancy.

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We can see that the patient does have

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some coexisting pathology, including a

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right pleural effusion, right greater than

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left hydronephrosis, right perinephric

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fluid, and hyperenhancement of the

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right renal and ureteral epithelium.

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When we look at the uterus, it's enlarged

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due to gravity, and if we begin to

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count, we can see one, two, three, three

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fetuses, so this is a triplet gestation.

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There is a qualitatively normal amount of

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amniotic fluid surrounding the fetuses,

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and again on CT, the placenta will appear

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as a heterogeneously enhancing structure

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which is attached to the myometrium.

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On sagittal CT, I think it's easiest

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to delineate that each one of

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these fetuses has its own placenta.

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So here's placenta number one, this is placenta

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number two, and here's placenta number three.

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Thank you.

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So, this is a trichorionic triplet gestation.

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This patient does have a small amount

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of funneling of the amniotic fluid

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toward the internal cervical os.

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So, while we would not call this cervix

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open, we would call it patchless, and

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that is something that we would mention

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to the referring clinicians, since it's

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not a completely normal appearing cervix.

Report

Faculty

Erin Gomez, MD

Assistant Professor of Radiology

Johns Hopkins Hospital

Tags

Women's Health

Uterus

Ovaries

Gynecologic (Gyn)

Gynecologic (GYN)

Genitourinary (GU)

Cervix

CT

Body

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