Document Detail

Lessons from monochorionic twin delivery.
MedLine Citation:
PMID:  22691587     Owner:  NLM     Status:  MEDLINE    
The presence of acute peripartum anaemia in a monochorionic twin pregnancy represents a clinical challenge requiring prompt recognition and management. Twin-to-twin transfusion syndrome (TTTS) is a major complication of these pregnancies and a medical emergency in its acute form. Acute intrapartum fetoplacental transfusion (AIFT) has been reported infrequently. The authors present a case of a probable acute TTTS in an uneventful monochorionic monoamnionic twin pregnancy, where typical ultrasound criteria for long-standing TTTS were absent. The first twin was born pale, hypotonic and developed hypovolemic shock due to acute anaemia. Soon after birth, she presented with seizures and a cerebral ultrasound detected a large parieto-occipital infarction. The second twin, although plethoric, was clinically well. The risk of acute TTTS and AIFT, although infrequent and unpredictable, should be kept in mind when planning delivery of monochorionic twins, because the consequences for one or both twins can be disastrous.
Sofia Almeida Ferreira; Gustavo Machado Guimarães Januário; Dolores Faria Pereira; Isabel Santos Silva; Fatima Negrão
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2011-06-09
Journal Detail:
Title:  BMJ case reports     Volume:  2011     ISSN:  1757-790X     ISO Abbreviation:  BMJ Case Rep     Publication Date:  2011  
Date Detail:
Created Date:  2012-06-13     Completed Date:  2013-04-29     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  101526291     Medline TA:  BMJ Case Rep     Country:  England    
Other Details:
Languages:  eng     Pagination:  -     Citation Subset:  IM    
Hospital Pediátrico de Coimbra, Coimbra, Portugal.
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MeSH Terms
Fetofetal Transfusion / diagnosis*
Infant, Newborn

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