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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
PubMed
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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.

Related Experiment Videos

  • Immediate delivery is recommended when the cause of fetal hydrops is uncorrectable to prevent fetal demise and maternal complications.