Abstract
Placental abruption (PA) is one of the worst possible manifestations of injury in the pregnant trauma patient with ultrasound as the current initial imaging examination of choice, despite its known limitations in placental evaluation. Pregnant patients who undergo computed tomography (CT) for evaluation of potential maternal injuries provide an additional source of imaging for placental evaluation; however, few studies have delineated normal and abnormal placental appearance, therefore resulting in insufficient placental assessments on pregnant trauma patients. Retrospective literature analysis was performed to provide a structured descriptive classification of normal and abnormal placental appearance on CT. By offering a structured system of placental appearance, radiologists will become more familiar with normal variations of the placenta as well as be able to recognize areas of abnormality, furthermore assisting in clinical management efficiency.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Desforges JF, Pearlman MD, Tintinalli JE et al (1990) Trauma during pregnancy. NEJM 323:1609–1613
Connolly AM, Trout AT, Friedklin AM et al (1997) Trauma and pregnancy. Am J Perinatol 14(6):331–336
Elsayes KM, Tout AT, Friedkin AM et al (2009) Imaging of the placenta: a multimodality pictorial review. Radiographics 29:1371–1391
Lowdermilk C, Gavant ML, Quaisi W et al (1999) Screening helical CT for evaluation of blunt traumatic injury in pregnant patient. Radiographics 19:S243–S255
Glantz C, Purnell L (2002) Clinical utility of sonography in the diagnosis and treatment of placental abruption. J Ultrasound Med 21:837–840
Nyberg DA, Cyr DR, Mack LA et al (1987) Sonographic spectrum of placental abruption. AJR 148:161–164
Kopelman TK, Berardoni NE, Manriquez M et al (2012) The ability of tomography to diagnose placental abruption in the trauma patient. J Trauma Acute Care Surg 74:236–241
Wei SH, Helmy M, Cohen AJ et al (2009) CT evaluation of placental abruption in pregnant trauma patients. Emerg Radiology 16:353–373
Manriquez M, Srinivas G, Bollepalli S (2010) Is computed tomography a reliable diagnostic modality in detecting placental injuries in the setting of acute trauma? Am J Obstet Gynecol 201(et al):611e1-e5
Nguyen D, Nguyen C, Yacobozzi M et al (2012) Imaging of the placental with pathologic correlation. Semin Ultrasound CT 33:65–77
Harris RD, Cho C, Wells WA et al (1996) Sonography of the placenta with emphasis on pathological correlation. Semin Ultrasound CT MR 17:66–89
Angran PF, Dunkle DE, Winn DG et al (1987) Fetal death in motor vehicle accidents. Ann Emerg Med 16:1355–1358
Trivedi N, Ylagan M, Moore TR et al (2012) Predicting adverse outcomes following trauma in pregnancy. J Reprod Med 57:3–8
Goldman SM, Wagner LK (1999) Radiologic ABCs of maternal and fetal survival after trauma: when minutes may count. Radiographics 19:1349–1357
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Saphier, N.B., Kopelman, T.R. Traumatic Abruptio Placenta Scale (TAPS): a proposed grading system of computed tomography evaluation of placental abruption in the trauma patient. Emerg Radiol 21, 17–22 (2014). https://doi.org/10.1007/s10140-013-1155-3
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10140-013-1155-3