Diferential dagnosis in twin-to-twin transfusion syndrome: methodology and clinical cases

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In monochorionic twins there exist some specific complications as twin-to-twin transfusion syndrome and selective growth restriction that could have some common features. Also in case of non-immune hydrops of one of the fetuses it could mimic the clinical features of severe twin-to-twin transfusion. In this article we describe three cases of monochorionic twins with different conditions and discuss the best way to differentiate between these diagnoses.

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Ekaterina Nekrasova

Center Fetal Medicine MEDICA

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Email: katnekrasova@hotmail.com
PhD, chief medical officer 俄罗斯联邦

参考

  1. Ville Y. Twin-to-twin transfusion syndrome: time to forget the Quintero staging system? Ultrasound Obstet Gynecol. 2007;30:924-7. doi: 10.1002/uog.5221.
  2. Zikulnig L, Hecher K, Bregenzer T, et al. Prognostic factors in severe twin-twin transfusion syndrome treated by endoscopic laser surgery. Ultrasound Obstet Gynecol. 1999;14:380-7. doi: 10.1046/j.1469-0705.1999.14060380.x.
  3. Martinez JM, Bermudez C, Becerra C, et al. The role of Doppler studies in predicting individual intrauterine fetal demise after laser therapy for twin-twin transfusion syndrome. Ultrasound Obstet Gynecol. 2003;22:246-51. doi: 10.1002/uog.215.
  4. Sebire NJ, Carvalho M, D’Ercole C, et al. Intertwin disparity in fetal size in monochorionic and dichorionic twin pregnancies. Obstet Gynecol. 1998;91:82-5. doi: 10.1016/S0029-7844(97)00552-8.
  5. Sebire NJ, Snijders RJM, Huges K, et al. The hidden mortality of monochorionic twin pregnancies. BJOG. 1997;104: 1203-7. doi: 10.1111/j.1471-0528.1997.tb10948.x.

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