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