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DOI: 10.1007/s40556-021-00290-x
Massive Perivillous Fibrinoid Degeneration of Placenta/ Maternal Floor Infarct: A Case Report
Abstract
Placental pathology can be a cause of early severe FGR leading to perinatal morbidity and mortality with repercussions in future pregnancies. A diagnosis of a placental lesion on ultrasound should have a detailed clinical and histopathological correlation for better management in next pregnancy. We present a case report of “placental massive perivillous fibrinoid degeneration/maternal floor infarction (MPFD)” with very large avascular placenta. This can lead to fetal growth restriction (FGR) and other complications for the fetus. It is also known to be associated with antiphospholipid syndrome. Management with low dose aspirin and low molecular weight heparin achieves good results.
Keywords
Placenta - Massive perivillous fibrinoid degeneration (MPFD) - Maternal floor infarction (MFI) - Fetal growth restriction (FGR) - Anti phospholipid antibody (APLA) - Low dose aspirin - Low molecular weight heparin (LMWH)Publication History
Received: 13 November 2020
Accepted: 12 January 2021
Article published online:
05 May 2023
© 2021. Society of Fetal Medicine. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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