Radiological Case: Placental Cyst
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A 28-year-old, gravida 2, para 1 woman presented in her second trimester for routine sonographic evaluation. Her obstetrical history was unremarkable. The routine blood tests were normal. Sonography revealed a single fetus with normal growth parameters. However, there was placentomegaly with a thickness of 6.5cm and a large, thin-walled cyst on the placental-fetal surface abutting the umbilical cord insertion. No solid component or blood flow was appreciable in the cyst. An MRI scan was performed after 2 days to evaluate the contents of the placental cyst; the images revealed fluid-fluid level suggestive of hemorrhage which was not seen in previous ultrasound imaging. The fetal head showed scalp edema and intracranial extra-axial hemorrhage with diffusion restriction in fetal brain. The fluid-fluid level was also seen in the amniotic fluid. The patient aborted the dead fetus the following day. The amniotic fluid was blood stained. The placental cyst had ruptured and could not be delineated separately from partially necrosed placenta.

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