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[Unexpected outcome of a twin transfusion syndrome. A case report]

F Lenain1, D Subtil, B Guérin

  • 1Clinique Universitaire de Gynécologie-Obstétrique et Pathologie de la Reproduction, Roubaix.

A monochorial biamniotic twin pregnancy was uneventful until 24-weeks amenorrhoea when severe donor-recipient transfusion syndrome occurred. Unexpectedly, the situation stabilised spontaneously with regression of amniotic fluid anomalies. Pathology examination of the placenta revealed that a central placental cotyledon had undergone ischaemic necrosis which could have led to interruption of fetal-fetal transfusion at about 23 weeks amenorrhoea.

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