Succenturiate placenta: An incidental finding

Abstract

Introduction: the placenta succenturiata or, succenturiate placenta is a morphological abnormality of placenta having succenturiate lobe. succenturiate lobe is one or, more small accessory placental lobe, size of a cotyledon developing in the membranes at a distant from the periphery of the main placental disc usually having vascular connections of fetal origin which runs through the membranes connecting main placenta to the succenturiate lobe. the accessory lobe is developed from the activated villi on the chorionic leave. the estimated incidence is ~ 3 per 1000 pregnancies. It carries an increased incidence of vasa praevia. Approximately, 50% of vasa praevia is associated with succenturiate placenta. they are associated with increasing maternal age and are more common in women who have undergone in vitro fertilization (IVF). case report: Herein, we report a case of pregnancy Snigdha Kumari1, Ashok Kumar Biswas2, Gautam Giri3 Affiliations: 1MBBS, MS, Department of Obstetrics and Gynecology, Vivekananda Institute of Medical Sciences, Ramakrishna Mission SevaPratishthan, Kolkata, West Bengal, India; 2MBBS, MD, DNB, Professor, Department of Obstetrics and Gynecology, Vivekananda Institute of Medical Sciences, Ramakrishna Mission SevaPratishthan.Kolkata, West Bengal, India; 3MBBS, DGO, MD.Assistant Professor, Department of Obstetrics and Gynecology, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan.Kolkata, West Bengal, India. Corresponding Author: Snigdha Kumari, MBBS, MS, Resident, Department of Obstetrics and Gynecology, Main Office, Ramakrishna Mission SevaPratishthan, Vivekananda Institute of Medical Sciences, 99 Sarat Bose Road, Kolkata700026, India; Ph: 919831376252; Email: snigdha.obs@ gmail.com Received: 10 March 2015 Accepted: 04 April 2015 Published: 15 April 2015 with an incidental finding of succenturiate lobe of placenta in a 35-year pregnant woman. she was admitted in the labor room where she delivered a healthy female baby. the placenta was delivered by controlled cord traction. It had a small accessory lobe, a size of a cotyledon in the membranes at a distance from the main placenta. this accessory lobe had vascular connections with the main placenta. conclusion: the succenturiate placenta is a morphological abnormality, the ultrasonography guided recognition of which in the antenatal period is important. this variety of placenta incurs many risks like; rupture of the succenturiate lobe may leading to intrauterine fetal demise, postpartum hemorrhage or rarely uterine sepsis and sub involution.