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Case Reports
. 2024 Jun 4:16:1041-1047.
doi: 10.2147/IJWH.S463509. eCollection 2024.

Succenturiate Placental Lobe Abruption

Iulian Gabriel Goidescu  1   2 , Georgiana Nemeti  1   2 , Andreia Preda  1   2 , Adelina Staicu  1   2 , Cerasela Mihaela Goidescu  3 , Mihai Surcel  1   2 , Ioana Cristina Rotar  1   2 , Gheorghe Cruciat  1   2 , Daniel Muresan  1   2
Affiliations
Case Reports

Succenturiate Placental Lobe Abruption

Iulian Gabriel Goidescu et al. Int J Womens Health. .

Abstract

Placental development is a complex process which sets the stage for normal fetal development. Any variation/disruption occurring during the initial stages of placental formation leads to placental malfunction causing increased maternal-fetal morbidity and mortality. The succenturiate lobe is a structural variation of the placenta that usually appears as a distinct lobe from the main placental mass. Succenturiate lobe is a rare placental anomaly, with high risk of fetal distress, hemorrhage, abruptio placentae and even fetal death because the vessels of this succenturiate lobe are vulnerable to both compression and laceration. Prenatal imaging diagnosis of this pathology improves the fetal prognosis through more careful surveillance and, in case of complications such as abruptio placentae, by shortening the time-to-decision making in favor of cesarean delivery. We present the case of a 27-year-old patient, without risk factors for placental abnormalities, diagnosed antenatally with succenturiate placenta, who presented at 34 weeks of pregnancy for abruptio placentae.

Keywords: abruption; placental anomaly; succenturiate lobe.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
(A) Aberrant placental lobe (B) The relationship with umbilical vessels as demonstrated by color Doppler flow.
Figure 2
Figure 2
(A) Magnetic resonance serial sagittal T2 sections at the level of the uterus. Arrow – band of placental parenchyma between the placenta and the accessory lobe. (B) Magnetic resonance serial sagittal T2 sections at the level of the uterus - The maximum distance between main placental mass and the accessory lobe.
Figure 3
Figure 3
(A and B) Retroplacental hematoma (C) Normal umbilical artery Doppler parameters.
Figure 4
Figure 4
The intraoperative aspect of the placenta. (A) The retroplacental hematoma (white arrow) (B and C) The aberrant placental lobe (yellow arrow) and connecting vessels to the main placental mass (green arrow).
See this image and copyright information in PMC

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