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Mirror syndrome. A case report
Alex C Vidaeff1, E Rebecca Pschirrer, Joan M Mastrobattista
1Division of Maternal-Fetal Medicine, Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas Houston Medical School, 6431 Fannin Street, Suite 3.604, Houston, TX 77030, USA. alex.c.vidaeff@uth.tmc.edu
The Journal of Reproductive Medicine
|October 17, 2002
Summary
Mirror syndrome, a rare condition where maternal water retention mirrors fetal hydropic changes, requires prompt recognition. Early delivery is crucial for favorable maternal and fetal outcomes in severe cases.
Area of Science:
- Maternal-fetal medicine
- Reproductive endocrinology
Background:
- Mirror syndrome is a rare obstetric complication characterized by maternal edema mirroring fetal hydrops.
- It is often misdiagnosed as preeclampsia, highlighting the need for accurate diagnostic criteria.
Observation:
- A 26-year-old pregnant woman presented with severe edema and rapid weight gain at 31 weeks' gestation.
- Sonographic findings included hydramnios and fetal ascites, with maternal workup negative for common conditions like preeclampsia.
Findings:
- The case illustrates mirror syndrome as a manifestation of severe fetal hydrops.
- Prompt diagnosis and delivery led to successful outcomes for both mother and neonate.
Implications:
- Accurate identification of mirror syndrome is vital to differentiate it from preeclampsia and manage risks.
- Immediate delivery is recommended when the cause of fetal hydrops is uncorrectable to prevent fetal demise and maternal complications.