RT Journal Article
T1 Diagnostic Challenges and Perinatal Outcomes: A Case Series on a Retrospective Study
A1 Moral-Moral, Carmen María
A1 Porras-Caballero, Lorena
A1 Blasco-Alonso, Marta
A1 Cuenca-Marín, Celia
A1 Monis-Rodriguez, Susana
A1 González-Mesa, Ernesto Santiago
A1 Narbona-Arias, Isidoro
A1 Jimenez-Lopez, Jesús S.
K1 Embarazo - Complicaciones y secuelas
AB Succenturiate placenta is a rare anatomical variant characterized by one ormore accessory lobes connected to the main placental mass by fetal vessels. While frequentlyasymptomatic, this condition can lead to serious maternal–fetal complications ifnot diagnosed prenatally. Early detection through advanced ultrasonographic techniquesplays a critical role in guiding obstetric management and reducing adverse outcomes.Objective: To describe and analyze the prenatal diagnosis, sonographic characteristics, clinicalmanagement, and maternal–fetal outcomes of succenturiate placenta cases diagnosedover a ten-year period at a tertiary care center. Methods: We conducted a retrospectiveobservational study of nine pregnancies diagnosed with succenturiate placenta between2014 and 2024. Data collected included maternal demographics, ultrasound findings, typeof cord insertion, presence of associated anomalies such as velamentous cord insertionor vasa previa, vaginal or cesarean delivery, complications, and neonatal outcomes. Ultrasoundevaluation was scored based on a four-point checklist assessing key diagnosticsteps. Results: Five of the nine cases (55.6%) presented isolated succenturiate placenta,while four (44.4%) were associated with velamentous cord insertion. No cases of vasaprevia were identified. Obstetric outcomes included three vaginal deliveries (33.3%), twoinstrumental (22.2%), and four cesarean sections (44.4%), one of which was emergent dueto fetal distress. Complications occurred in 44.4% of cases, with intrapartum bradycardiabeing the most common. One neonatal death was reported due to placental abruption. Thequality of the ultrasound diagnosis was high in most cases, though transvaginal scanningwas inconsistently applied. Conclusions: Prenatal identification of succenturiate placentavia detailed ultrasound, including color Doppler and targeted assessment of cord insertion,is essential to minimize risks associated with this condition. Standardized diagnostic protocolscan improve detection rates and enable timely clinical decisions, ultimately improvingmaternal and neonatal outcomes.
PB MDPI
SN 2075-4418
YR 2025
FD 2025-05-26
LK https://hdl.handle.net/10630/44718
UL https://hdl.handle.net/10630/44718
LA eng
NO Moral-Moral CM, Porras-Caballero L, Blasco-Alonso M, Cuenca-Marín C, Monis-Rodriguez S, Gonzalez-Mesa E, Narbona-Arias I, Jimenez-Lopez JS. Diagnostic Challenges and Perinatal Outcomes: A Case Series on a Retrospective Study. Diagnostics. 2025; 15(11):1329. https://doi.org/10.3390/diagnostics15111329
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 3 mar 2026