Dichorionic pregnancy complicated by a twin-to-twin transfusion syndrome | Acog TTTS

SkiptomaincontentYouarehereHomeArchiveVolume12, Issue10Dichorionicpregnancycomplicatedbyatwin-to-twintransfusionsyndromeEmailalertsArticleTextArticlemenuArticleTextArticleinfoCitationToolsShareRapidResponsesArticlemetricsAlertsPDFRarediseaseCasereportDichorionicpregnancycomplicatedbyatwin-to-twintransfusionsyndromeMariaCarlotaCavazza1,AnaCatarinaLai2,SílviaSousa1andRaquelPina21ObstetricsandGynecology,CentroHospitalardeLeiria,Leiria,Portugal2Pathology,CentroHospitalareUniversitáriodeCoimbraEPE,Coimbra,PortugalCorrespondencetoDrMariaCarlotaCavazza;mcarlota.cavazza{at}gmail.comAbstractTwin-to-twintransfusionsyndrome(TTTS)isaseriouscomplicationtypicalofmonochorionicpregnancies.Casesindichorionicpregnancieshavebeendescribed.TheauthorspresentacasereportofapresumedTTTSinadichorionicpregnancyfollowedatourinstitutioninwhichthepatientpresentedtotheemergencydepartmentat314/7weeks’gestationcomplainingoflackoffetalmovements.Bothfetusesdidnotshowanycardiacactivity.Onthefirsttwin,anoligohydramnioswaspresentandhisbladderwasnotvisualisedand,onthesecondtwin,apolyhydramniosandanaugmentedbladderwerevisualised.PathologicalfindingsofthefetuseswerecompatiblewithadiagnosisofTTTSandplacentalstudyconfirmedthepresenceofadichorionic/diamnioticplacenta,withsuperficialvesselscrossingthedividingmembrane.pregnancyobstetricsandgynaecologyhttp://dx.doi.org/10.1136/bcr-2019-231614StatisticsfromAltmetric.compregnancyobstetricsandgynaecologyViewFullTextFootnotesContributorsMCCandACLwereresponsibleforthestudyconceptanddesign,revisionoftheliteratureanddraftingofthemanuscript.SSandRPcontributedtostudysupervisionandcriticalrevisionofthemanuscript.FundingTheauthorshavenotdeclaredaspecificgrantforthisresearchfromanyfundingagencyinthepublic,commercialornot-for-profitsectors.CompetinginterestsNonedeclared.PatientconsentforpublicationObtained.ProvenanceandpeerreviewNotcommissioned;externallypeerreviewed.RequestPermissionsIfyouwishtoreuseanyorallofthisarticlepleaseusethelinkbelowwhichwilltakeyoutotheCopyrightCle

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Diagnosis/definition: The diagnosis of TTTS requires 2 criteria: (1) the presence of a monochorionic diamniotic (MCDA) pregnancy; and (2) the presence of ...