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Model Surgical Training: Skills Acquisition in Fetoscopic Laser Photocoagulation of Monochorionic Diamniotic Twin Placenta Using Realistic Simulators
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Meconium peritonitis in both fetuses with early twin-to-twin transfusion syndrome

Louis Marcellin1, Andrea Quintana, Mohamed Essaoui

  • 1Department of Obstetrics and Gynecology, Cochin Hospital, Paris Descartes University, Paris, France. louismarcellin@hotmail.com

Twin Research and Human Genetics : the Official Journal of the International Society for Twin Studies
|August 3, 2012
PubMed

Twin-to-twin transfusion syndrome (TTTS) is due to unbalanced inter-twin bloodflow through placental vascular anastomoses. We present a TTTS case treated with fetoscopic laser photocoagulation (FLP) that was complicated by perinatal meconium peritonitis in both twins. Ten weeks following laser treatment, the two fetuses showed intra-abdominal hyperechogenicity and ascites. After birth, the two newborns were surgically managed for peritonitis. We discuss the pathogenesis of this double insult. The present case highlights the role of end-circulation bowel thrombi as the potential cause of subsequent intestinal perforation.

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