Multiple Gestations (CT)
HIDEInteractive Transcript
0:00
This is a CT of the abdomen and pelvis in a
0:02
patient with a multiple gestation pregnancy.
0:06
We can see that the patient does have
0:07
some coexisting pathology, including a
0:10
right pleural effusion, right greater than
0:13
left hydronephrosis, right perinephric
0:15
fluid, and hyperenhancement of the
0:18
right renal and ureteral epithelium.
0:22
When we look at the uterus, it's enlarged
0:24
due to gravity, and if we begin to
0:28
count, we can see one, two, three, three
0:31
fetuses, so this is a triplet gestation.
0:34
There is a qualitatively normal amount of
0:37
amniotic fluid surrounding the fetuses,
0:39
and again on CT, the placenta will appear
0:42
as a heterogeneously enhancing structure
0:44
which is attached to the myometrium.
0:48
On sagittal CT, I think it's easiest
0:50
to delineate that each one of
0:52
these fetuses has its own placenta.
0:55
So here's placenta number one, this is placenta
0:59
number two, and here's placenta number three.
1:02
Thank you.
1:02
So, this is a trichorionic triplet gestation.
1:06
This patient does have a small amount
1:08
of funneling of the amniotic fluid
1:11
toward the internal cervical os.
1:13
So, while we would not call this cervix
1:16
open, we would call it patchless, and
1:19
that is something that we would mention
1:20
to the referring clinicians, since it's
1:22
not a completely normal appearing cervix.
Erin Gomez, MD
Assistant Professor of Radiology
Johns Hopkins Hospital
© 2024 MRI Online. All Rights Reserved.