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Updated: May 22, 2026

Accurate and Simple Evaluation of Vascular Anastomoses in Monochorionic Placenta using Colored Dye
Published on: September 5, 2011
[Newborn twins with colour difference]
Angelo B Hooker1, Reinhard Maas
1Sint Lucas Andreas Ziekenhuis, afd. Gynaecologie, Amsterdam, the Netherlands. a.b.hooker@hotmail.com
A 31-year-old woman, pregnant of a monochorionic diamniotic twins had an unremarkable pregnancy. After delivery, the infants showed a colour difference. Blood analysis revealed an anaemia-polycythaemia sequence, caused by arterio-venous anastomoses in the placenta. The diagnosis was 'twin anaemia polycythaemia sequence' an acute and atypical form of twin-to-twin transfusion syndrome.
A 31-year-old woman, pregnant of a monochorionic diamniotic twins had an unremarkable pregnancy. After delivery, the infants showed a colour difference. Blood analysis revealed an anaemia-polycythaemia sequence, caused by arterio-venous anastomoses in the placenta. The diagnosis was 'twin anaemia polycythaemia sequence' an acute and atypical form of twin-to-twin transfusion syndrome.
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