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Late-Onset Mirror Syndrome.

Erinna Mohamad Zon¹, Nik Ahmad Zuky Nik Lah², Pek Sung Hoo³

¹MD (USM), MMed O&G (USM), Department of Obstetrics & Gynaecology, School of Medical Sciences, Universiti Sains Malaysia, Malaysia, Department of Obstetrics & Gynaecology, Hospital Universiti Sains Malaysia, Malaysia

Malaysian Family Physician : the Official Journal of the Academy of Family Physicians of Malaysia

|May 5, 2021

Summary

Mirror syndrome, a rare pregnancy complication, involves fetal hydrops, placental edema, and maternal edema. Early recognition is crucial to prevent severe maternal and fetal outcomes.

Keywords:

Ballantyne syndrome Mirror syndrome hydrops fetalis

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Area of Science:

Obstetrics and Gynecology
Maternal-Fetal Medicine
Perinatology

Background:

Mirror syndrome is a rare pregnancy complication.
It is characterized by fetal hydrops, placental edema, and maternal edema.
This condition is associated with high fetal mortality and maternal morbidity.

Observation:

A case of late-onset Mirror syndrome presented at 36 weeks gestation.
The patient exhibited excessive weight gain and signs mimicking preeclampsia.
This presentation highlights diagnostic challenges in late-gestation pregnancies.

Findings:

Mirror syndrome involves a triad of fetal hydrops, placental edema, and maternal edema.
Late-onset presentation can mimic other conditions like preeclampsia.
Delayed diagnosis significantly increases risks.

Implications:

Increased awareness of Mirror syndrome is vital for timely diagnosis and treatment.
Prompt management can mitigate severe maternal and perinatal morbidity and mortality.
This case underscores the importance of considering rare diagnoses in complex obstetric presentations.