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Hemorragia anteparto asociada a placenta succenturiata. Reporte de un caso.
Introduction: placenta succenturiata is a morphological abnormality of the placenta that can result in significant morbidity and mortality for both the fetus and the mother. Aim to describe a clinical case of antepartum hemorrhage associated with placenta succenturiata.
Materials and methods: a retrospective descriptive study, clinical case presentation, informed consent of the patient to have access to the clinical history and use of images corresponding to the present investigation.
Clinical case: the case of a pregnant woman of 33 weeks, who enters the emergency area, with hemorrhage of the third trimester, was observed in the ultrasound, presence of a lobe that reaches the level of the internal cervical orifice, being confused with placenta previa, patient was stable and under observation, with continuous fetal monitoring, until complete lung maturation was obtained, later I present pain and bleeding before delivery so it was operated surgically by cesarean operation where the presence of succenturiado lobe in the placenta is confirmed. Both developments were favourable.
Discussion: The present article demonstrates, a rare variety of placental malformation that causes multiple complications and belongs to the differential of other pathologies that cause third trimester bleeding, being associated with placenta previa, so, we must keep in mind the placenta succenturiata as a cause of bleeding in the third trimester, also take into account that in the postpartum period is cause of retention of a placental portion and can cause bleeding or infection.
Conclusions: The placenta succenturiata is an abnormality of rare presentation, which is part of the differential diagnosis of haemorrhages before delivery and must be diagnosed in the prenatal period, so that prenatal control and care of the birth can be performed properly, in addition to giving guidance to the patient and her family. Caesarean delivery is recommended in these cases, with surgical approach and type of incision of choice, according to comorbidities and clinical status of the patient.Introducci贸n: La placenta succenturiata es una anomal铆a morfol贸gica de la placenta que puede resultar en morbilidad y mortalidad significativas tanto para el feto como para la madre.
Objetivo: describir un caso cl铆nico de hemorragia anteparto asociado a placenta succenturiata.
Materiales y m茅todos: se realiz贸 un estudio descriptivo retrospectivo, presentaci贸n de caso cl铆nico, se obtuvo consentimiento informado de paciente para tener acceso a la historia cl铆nica y uso de im谩genes correspondientes a la presente investigaci贸n.
Caso cl铆nico: se presenta el caso de una gestante de 33 semanas, que ingresa al area de emergencias, con hemorragia del tercer trimestre, en la ecograf铆a se observ贸, presencia de un l贸bulo que alcanza el nivel del orificio cervical interno, confundi茅ndose con placenta previa, paciente se encontraba estable y en observaci贸n, con monitorizaci贸n fetal continua, hasta obtener maduraci贸n pulmonar completa, posteriormente presento dolor y sangrado ante parto por lo que fue intervenida quir煤rgicamente mediante operaci贸n ces谩rea donde se constata la presencia de l贸bulo succenturiado en placenta. La evoluci贸n de ambos fue favorable. Discusi贸n: El presente art铆culo demuestra, una rara variedad de malformaci贸n placentaria que provoca m煤ltiples complicaciones y pertenece al diferencial de otras patolog铆as que provocan hemorragia del tercer trimestre, pudiendo estar asociadas con placenta previa, por lo que, hay que tener presente la placenta succenturiata como una causa de hemorragia del tercer trimestre, adem谩s tener en consideraci贸n que en el periodo postparto es causa de retenci贸n de una porci贸n placentaria y puede ocasionar hemorragia o infecci贸n.
Conclusiones: La placenta succenturiata es una anomal铆a de rara presentaci贸n, que forma parte del diagn贸stico diferencial de las hemorragias ante parto y que debe ser diagnosticada en el periodo prenatal, para poder as铆, realizar un control prenatal y atenci贸n del parto de forma adecuada, adem谩s de dar una orientaci贸n a la paciente y su familia. Se recomienda en estos casos el parto por ces谩rea, con abordaje quir煤rgico y tipo de incisi贸n a elecci贸n, de acuerdo a comorbilidades y estado cl铆nico de paciente