Mohamed M. Abd El Aleem
Department of Obstetrics and Gynecology, Faculty of Medicine, Ain Shams University, Cairo, Egypt
Publications
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Research Article
Intracervical lakes as a sonographic marker of placenta accreta spectrum (PAS) in patients with previa and low-lying placenta: A prospective observational study
Author(s): Mohamed M. Salman*, Karam M. Bayomy, Nader M. Ibrahim and Mohamed M. Abd El Aleem
Objective: We evaluated the diagnostic accuracy of a new ultrasound sign, “intracervical lakes”, in predicting presence and outcome of placenta accreta spectrum (PAS). Methods: An observational study was done on 110 women with placenta previa or low-lying placenta at 36 weeks’ gestation, referred to Ain Shams Maternity Hospital between January 2021and December 2021, with all examined by ultrasound to confirm placental location, presence/absence/degree of invasion, and intracervical lakes sign. All underwent caesarean section and final diagnosis of PAS was made intraoperatively. Specimen was histologically examined. Results: US findings predicted PAS with sensitivity 76.8 % and specificity 85.2 %, while PAS sign+ intracervical lakes increased specificity to 98.1 %, positive predictive value 9.. Read More»