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Updated: Jul 13, 2026
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Mirror syndrome: a novel approach to therapy with fetal peritoneal-amniotic shunt
Jeffrey C Livingston1, Khurram M Malik, Timothy M Crombleholme
1Department of Obstetrics and Gynecology, Maternal Fetal Medicine Division, University of Cincinnati, College of Medicine, OH 45267-0526, USA. livingjc@ucmail.uc.edu
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.