DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20200916

Twin-Twin transfusion syndrome: a case report

Romi Bansal, Jasleen Kaur, Priyanka .

Abstract


Twin to twin transfusion syndrome is a rare but serious complication of monochorionic twin pregnancy. It is characterized by the development of abnormal placental vascular communication from one foetus (donor) to the other foetus (recipient). If left untreated it led to high rates of perinatal morbidity and mortality due to its poorly understood etiology and difficulty in diagnosing and treatment. Authors report a case of twin to twin transfusion syndrome in 24 years old primigravida with gestational age of 18 weeks 5 days diagnosed on ultrasound.


Keywords


Anastomosis, Discordant, Donor, Monochorionic, Recipient, Twin-Twin

Full Text:

PDF

References


Bebbington MW, Wittmann BK. Fetal transfusion syndrome: antenatal factors predicting outcome. Am J Obstet Gynecol. 1989;160:913-5.

Blickstein I. The twin-twin transfusion syndrome. Obstetrics and Gynecology 1990;76:714-22.

Delia JE, Crusikshank DW, Keye WR. Fetoscopic neodymium: YAG laser occlusion of placental vessels in severe twin-twin transfusion syndrome. Obstet Gynecol. 1990;75:1046-53.

Elliot JP, Urig MA, Clewell WH. Aggressive therapeutic amniocentesis for treatment of twin-twin transfusion syndrome. Obstet Gynecol. 1991;77:537-40.

Mahoney BS, Petty CN, Nyberg DA, Luthy DA, Hickok DE, Hirsch JH. The stuck twin phenomenon: Ultrasonographic findings, pregnancy outcome and management with serial amniocentesis. Am J Obstet Gynecol. 1990;163:1513-22.

Urig MA, Clewell WH, Elliot JP. Twin-Twin transfusion syndrome. Am J Obstet Gynecol. 1990;163:1522-6.

Filly RA, Goldstrein RB, Callen PW. Monochorionic twinning: Sonograhic assessment. AJR. 1990;154:459-69.

Pretorious DH, Mahony BS. Twin gestations. In Nyberg DA, Mahony BS, Pretorious DH. Diagnostic ultrasound of fetal anomalies: Text and Atlas. Chicago Year Book Medical Publishers. 1990;592-622.

Creasy R, Resnik R. Twin-Twin transfusion syndrome. Philadelphia: Saunders. Maternal-Fetal Med. 1989;565-579.

Wittman K, Farquharson DF, Thomas DS, Baldwin VJ, Wadsworth LD. The role of feticide in the management of severe twin transfusion syndrome. Am J Obstet Gynecol. 1986;155:1023-6.

Sebire NJ, D’ Ercole C, Carbelho M, Sepulveda W, Nicolaides KH. Inter-twin membrane folding in monochorionic pregnancies. Ultrasound Obstet Gynecol. 1998;11:324-7.

Sebire NJ, D’ Ercole C, Hughes K, Carvalho M, Nicolaides KH. Increased nuchal translucency thickness at 10-14 weeks of gestation as a predictor of severe twin-to-twin transfusion syndrome. Ultrasound Obstet Gynecol. 1997;10:86-9.

Arora V, Nijjar IS, Abrol R, Chopra R, Roopa. Twin-Twin transfusion syndrome. Ind J Radiol Imag. 2006;16(4):797-9.

Skupski DW. Twin-twin transfusion syndrome: an update. Croatian Med J. 2000;41(3):228-34.