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 Indian J Med Microbiol  
 

Figure 4 (A and B): Patient with 31 weeks of gestation presenting with acute abdominal pain, tense uterus, and increased fundal height. (A) USG with color Doppler shows a thickened placenta. The fundal component (star) is heterogeneous and vascular, while the caudal component (bent arrow) is homogenously echogenic and shows no flow on color Doppler. Only conclusion drawn from USG is placentomegaly, while the clinical question remains unanswered. (B) Sagittal SSh T2W image shows a huge placenta nearly filling the uterine cavity anteroposterioly. Placental parenchyma (star) is seen at the fundal aspect. A large intraplacental blood-fluid level is seen. Signal intensity of hemorrhage indicates that the darkest appearing chronic bleed (arrowhead) lies just beneath the chorionic plate. A large subchorionic hematoma could be diagnosed on MRI. Conservative management and elective cesarean section at 32 weeks led to delivery of live fetus and a 4 kg placenta with massive subchorionic thrombohematoma

Figure 4 (A and B): Patient with 31 weeks of gestation presenting with acute abdominal pain, tense uterus, and increased fundal height. (A) USG with color Doppler shows a thickened placenta. The fundal component (star) is heterogeneous and vascular, while the caudal component (bent arrow) is homogenously echogenic and shows no flow on color Doppler. Only conclusion drawn from USG is placentomegaly, while the clinical question remains unanswered. (B) Sagittal SSh T2W image shows a huge placenta nearly filling the uterine cavity anteroposterioly. Placental parenchyma (star) is seen at the fundal aspect. A large intraplacental blood-fluid level is seen. Signal intensity of hemorrhage indicates that the darkest appearing chronic bleed (arrowhead) lies just beneath the chorionic plate. A large subchorionic hematoma could be diagnosed on MRI. Conservative management and elective cesarean section at 32 weeks led to delivery of live fetus and a 4 kg placenta with massive subchorionic thrombohematoma