[Ballantyne syndrome or mirror syndrome]

Area of Science:

• Perinatology
• Maternal-Fetal Medicine
• Fetal Medicine

Background:

• Ballantyne syndrome, or mirror syndrome, is a rare condition characterized by a triad of fetal hydrops, maternal edema, and placentomegaly.
• It is often associated with various causes of fetal hydrops, highlighting the interconnectedness of fetal and maternal health.

Observation:

• This case presents a 26-year-old patient who developed mirror syndrome.
• The syndrome was secondary to non-immune fetal hydrops of unknown origin.
• The patient also experienced preeclampsia concurrently.

Findings:

• Mirror syndrome presents a diagnostic challenge due to its association with fetal hydrops and potential maternal complications like preeclampsia.
• The underlying cause of non-immune fetal hydrops remains unknown in this case, emphasizing the need for further investigation.
• The triad of fetal hydrops, maternal edema, and placentomegaly signifies a critical condition requiring prompt management.

Implications:

• Fetal prognosis is poor in untreated cases, necessitating timely intervention.
• Maternal management may involve addressing the underlying cause or considering pregnancy termination.
• This case underscores the importance of recognizing mirror syndrome in cases of fetal hydrops and preeclampsia for improved maternal and fetal outcomes.