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2018, Number 2

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Rev Fac Med UNAM 2018; 61 (2)

Succenturiate placenta A case report

Moreno SAA, Arriaga LA, Martínez ALM
Full text How to cite this article

Language: Spanish
References: 12
Page: 37-41
PDF size: 288.56 Kb.


Key words:

Succenturiate lobe, accessory lobe, vasa previa, velamentous insertion.

ABSTRACT

Placenta succenturiate is a morphological abnormality of the placenta where one or more of the lobes are present outside the placental body. These can have different sizes and are connected by blood vessels to the main placenta. The accessory lobe develops from the chorionic villi that did not involute from the mild chorion. The estimated incidence worldwide is 1.04%. This entity has been associated with two main risk factors, advanced maternal age and women who have undergone in vitro fertilization. We present the case of patient diagnosed with placenta succenturiata in an 18-year old woman on her first pregnancy with vaginal delivery. The gestation ended by eutocic delivery in which a eutrophic and healthy newborn was obtained. During the third period of labor, the patient presented placental retention, for which a manual delivery was performed, obtaining a complete placenta with an accessory lobe in the membranes that had vascular connections with the main placenta. In conclusion, placenta succenturiata is a relatively rare morphological abnormality diagnosed in the postpartum period, but it can be diagnosed intentionally by color Doppler ultrasound in the prenatal period. This variety of placenta carries many risks that can compromise the health and life of both the fetus and the mother.


REFERENCES

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  10. Cavaliere AF, Rosati P, Ciliberti P, Buongiorno S, Guariglia L, Scambia G, et al. Succenturiate lobe of placenta with vessel anomaly: a case report of prenatal diagnosis and literature review. Clin Imaging. 2014;38(5):747-50.

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Rev Fac Med UNAM . 2018;61