Published 12 November 2008, doi:10.1136/bmj.a2453
Cite this as: BMJ 2008;337:a2453

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An interesting pathological specimen at delivery

Roshen Mathew, clinical preceptor1, K S Shakuntala Devi, professor and head of department2, Ganesh Rao, assistant professor2, Sheju Thomas, resident2

1 Department of General Medicine and Family Practice, Sree Siddhartha Medical College, Tumkur, India, 2 Department of Obstetrics and Gynaecology, Sree Siddhartha Medical College, Tumkur, India

dr_mrn@rediffmail.com

The first 150 words of the full text of this article appear below.

A 26 year old gravida 2 para 1 woman presented in the third trimester of her pregnancy. She had not had antenatal check ups, but was in good health. She had attended a first trimester scan, and said that the doctor told her she was having twins. She had a family history of twins. Her first pregnancy had resulted in a full term normal vaginal delivery.

Routine antenatal checks all were normal. Ultrasonography showed a normally growing fetus, appropriate for dates, and a cystic flattened mass near the placenta. No blood flow to the cystic mass could be seen.

At term she delivered a 3200 g male infant by normal vaginal delivery. After the delivery, a pathological specimen was delivered along with the remnants of the placenta. The placenta showed a calcified and nodular area on the fetal surface. Microscopic examination of the placenta showed nests of epithelioid cells and . . . [Full text of this article]


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