Asymptomatic, acute, massive abruptio placenta at 30 weeks´’ gestation in a primigravida with no risk factors – clinical presentation and management

Abruptio placentae with no risk factors

Authors

  • Paolo Meloni Department of Obstetrics and Gynecology, ASL1 Imperiese
  • Terenzia Simari Antenatal Clinic, ASL1 Imperiese
  • Rodolfo Brizio Human Pathology Service, ASL1 Imperiese
  • Roberto Conturso Prenatal Medicine, Sant’Anna Hospital
  • Ilenia Mappa Department of Obstetrics and Gynecology, Fondazione Policlinico Tor Vergata, Tor Vergata University
  • Giuseppe Rizzo Department of Obstetrics and Gynecology, Fondazione Policlinico Tor Vergata, Tor Vergata University
  • Edward Araujo Júnior Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP)
  • Gabriele Tonni Prenatal Diagnostic Service, Department of Obstetrics and Neonatology, and Researcher, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), AUSL Reggio Emilia

Keywords:

Abruptio placenta

Abstract

Abruptio placenta can be a catastrophic event with a high association with adverse maternal and fetal outcomes. We present a case of massive abruptio placenta occurring in a young asymptomatic mother at 30 weeks' gestation. Although electronic fetal monitoring and ultrasound allowed a prompt diagnosis of an 8 x 5 cm retroplacental hematoma, the fetus died at the time of emergency cesarean section. The fetus was intubated and resuscitated, but there was no resuscitation. Histologic examination of the placenta documented thinning and stacked hypercapilarized villi, with syncitial buds and foci of fibrinoid necrosis in the presence of hyaline streaks on both the maternal and fetal sides.

Published

2024-06-24

Issue

Section

Gynecology and Obstetrics

Categories