Document Detail


Mirror syndrome: a novel approach to therapy with fetal peritoneal-amniotic shunt.
MedLine Citation:
PMID:  17666658     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Mirror syndrome is a rare entity characterized by maternal disease mimicking fetal hydrops. In mirror syndrome, there is maternal hypertension, edema, and often proteinuria in association with fetal hydrops. The causal link between mirror syndrome and hydrops fetalis remains elusive. CASE: This is a case report of a pregnant woman who developed mirror syndrome associated with fetal hydrops. A fetal pelvic mass resulted in bladder outlet obstruction, subsequent bladder rupture, and massive urinary ascites. The resultant massive ascites caused thoracic and cardiac compression and subsequent hydrops fetalis. Placement of a peritoneal-amniotic shunt resolved the fetal hydrops and maternal mirror syndrome. CONCLUSION: In utero treatment of hydropic fetus can result in the cure of maternal mirror syndrome.
Authors:
Jeffrey C Livingston; Khurram M Malik; Timothy M Crombleholme; Foong-Yen Lim; Baha M Sibai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  110     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-08-01     Completed Date:  2007-09-06     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  540-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, Maternal Fetal Medicine Division, University of Cincinnati, College of Medicine, OH 45267-0526, USA. livingjc@ucmail.uc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Ascites / etiology,  surgery
Drainage / methods*
Edema / complications*,  surgery
Female
Humans
Hydrops Fetalis / etiology*,  surgery
Hypertension, Pregnancy-Induced / etiology,  surgery
Pregnancy
Pregnancy Complications / etiology*,  surgery
Pregnancy Outcome
Rupture, Spontaneous
Syndrome
Treatment Outcome
Urinary Bladder Neck Obstruction / complications,  etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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