Massive Perivillous Fibrinoid Degeneration of Placenta/ Maternal Floor Infarct: A Case Report

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.