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 Muresan1,2 1Obstetrics and Gynecology I, Mother and Child Department, University of Medicine and Pharmacy “iuliu Hatieganu”, Cluj-Napoca, 400006, Romania; 2Obstetrics-Gynecology I Clinic, Emergency County Hospital, Cluj-Napoca, Romania; 3Department of Internal Medicine, Medical Clinic I — Internal Medicine, Cardiology and Gastroenterology, University of Medicine and Pharmacy “Iuliu Hatieganu”, Cluj-Napoca, 400006, RomaniaCorrespondence: Georgiana Nemeti, Obstetrics-Gynecology I Clinic, Emergency County Hospital, Ginecologie I, Str. Clinicilor 3-5, Cluj-Napoca, 400006, Romania, Tel +40723565256, Email georgiana_nemeti@yahoo.comAbstract: 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: placental anomaly, succenturiate lobe, abruption