ABNORMALITIES OF THE CHORIO-DECIDUAL REACTION

SURROUNDING THE GESTATIONAL SAC 

 

       

        1.  Normal chorio-decidual reaction.

o        Variable appearance.

o        Usually thick and well defined.

 

    

      2. Abnormal chorio-decidual reaction.

o        Thin and/or weakly echogenic tissue (correlates with abnormal gestational development.

o        Irregular or incomplete reaction.

o        Absent double decidual reaction.

o        Some non-viable first trimester pregnancies may rarely show marked thickening of the chorionic tissue secondary to hydropic degeneration of the villi.