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Guide Wire Assisted Catheterization and Colored Dye Injection for Vascular Mapping of Monochorionic Twin Placentas
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Twin anemia polycythemia sequence in a dichorionic diamniotic pregnancy: a case report

Soo-Young Lee1, Jin Young Bae2, Seong Yeon Hong2

  • 1Department of Obstetrics and Gynecology, Yeungnam University Hospital, Daegu, Korea.

Journal of Yeungnam Medical Science
|July 1, 2021
PubMed

Complications related to the vascular anastomosis of the placental vessels in monochorionic twins are fatal. The clinical syndromes of feto-fetal transfusion include twin anemia polycythemia sequence (TAPS), twin-twin transfusion syndrome, and twin reversed arterial perfusion sequence. We present an extremely rare case of TAPS in a dichorionic diamniotic pregnancy. A 36-year-old woman, gravida 0, para 0, was referred to our hospital with suspected preterm premature membrane rupture. Although her pelvic examination did not reveal specific findings, the non-stress test result showed minimal variability in the first fetus and late deceleration in the second one. An emergency cesarean section was performed. The placenta was fused, and one portion of the placenta was pale, while the other portion was dark red. The hemoglobin level of the first fetus was 7.8 g/dL and that of the second one was 22.2 g/dL.

Keywords:
Dichorionic diamniotic twinsFetofetal transfusionTwin anemia polycythemia sequenceTwin to twin transfusion syndrome

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