Presentation
Motor vehicle accident
Patient Data
Single intrauterine fetus. The anterior placenta is heterogeneous with large areas of non-enhancement suggestive of CT appearance of placental abruption. No large retro-placental hematoma. The cervical canal is widened to ~12 mm although no products are seen within the canal.
Slightly delayed nephrogram of the right kidney with mild pelvicalyceal prominence and pyelo-venous reflux seen in pregnancy.
No traumatic injury of the liver, spleen, pancreas, kidneys, and gallbladder. No free intra-abdominal fluid or gas.
Minor anterior inferior abdominal wall subcutaneous fat stranding consistent with seat belt injury.
No pelvic ring fracture.
Case Discussion
Heterogeneous placenta with large areas of non-enhancement suggestive of CT appearance of placental abruption. No large retro-placental hematoma. Widened cervical canal suggestive of the impending passage of intrauterine content.