[Mirror syndrome: literature review based on a case]

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine

Background:

• Mirror syndrome (Ballantyne syndrome) is a rare obstetric complication.
• It involves fetal anasarca and maternal generalized edema, potentially with pre-eclampsia.

Observation:

• A case of a 35-year-old woman at 26 weeks gestation with idiopathic Mirror syndrome is presented.
• The condition rapidly progressed to intrauterine fetal death.

Findings:

• Maternal symptoms resolved following uterine evacuation.
• Uterine vacuity was essential for improving maternal and fetal prognosis in this severe idiopathic case.

Implications:

• Early suspicion and diagnosis of Mirror syndrome are critical.
• Management strategies, including uterine evacuation, are vital for severe cases.