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Case Reports and Images in Obstetrics and Gynecology

 
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Case Report
 
Succenturiate placenta: An incidental finding
Snigdha Kumari1, Ashok Kumar Biswas2, Gautam Giri3
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.

Article ID: 100001Z08SK2015
doi:10.5348/Z08-2015-1-CR-1

Address correspondence to:
Snigdha Kumari
MBBS, MS, Resident, Department of Obstetrics and Gynecology
Main Office, Ramakrishna Mission SevaPratishthan
Vivekananda Institute of Medical Sciences, 99 Sarat Bose Road, Kolkata 700026
India
Phone: 919831376252

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How to cite this article:
Kumari S, Biswas AK, Giri G. Succenturiate placenta: An incidental finding. J Case Rep Images Gynecol Obstet 2015;1:1–4.


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 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.

Keywords: Succenturiate placenta, Succenturiate lobe, Vasa praevia


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Author Contributions
Snigdha Kumari – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Ashok Kumar Biswas – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Goutam Giri – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Snigdha Kumari et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.





About The Authors

Snigdha Kumari is Senior Resident Surgeon in the Department of Obstetrics and Gynaecology at ESIC- Postgraduate Institute of Medical Sciences & Research, Joka, Kolkata, West Bengal in India. She earned the undergraduate degree of MBBS from Nilratan Sircar Medical College & Hospital, Kolkata, India and postgraduate degree of Masters in obstetrics and gynaecology (MS) from Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan, Kolkata, India. She has presented as well as published many research papers in national and international academic journals and has won various awards in academic field. Her research interests include obstetric emergencies, subfertility and gynaecological malignancies.



Ashok Kumar Biswas is MBBS, MD, DNB, Professor, Department of Obstetrics and Gynecology, Vivekananda Institute of Medical Sciences, Ramakrishna Mission Seva Pratishthan, Kolkata, West Bengal, India.



Gautam Giri is MBBS, DGO, MD, Assistant Professor, Department of Obstetrics and Gynecology, Vivekananda Institute of Medical Sciences, Ramakrishna Mission SevaPratishthan.Kolkata, West Bengal, India.


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