Foeto-foetal transfusion syndrome in dichorionic diamniotic twins: a clinical case

Background. Management of multiple gestation complicated by the foeto-foetal transfusion syndrome is among most intricate modern obstetric issues. The develops in 10–20% monochorionic diamniotic twins leading to 80–100% mortality one or both if left uncorrected, especially early cases. Although usually with placentae, there are notable exceptions vascular placental anastomoses reported dichorionic monozygotic twins. disease supposedly entails from an imbalanced blood interflow between due anastomoses. Clinical Case Description. Patient S., 32 yo, visited perinatal diagnostics at Territorial Perinatal Centre Children’s Hospital a preliminary diagnosis: 22 weeks and 5 days’ pregnancy. Dichorionic Threat extremely preterm birth. Two caesarean uterine scars. Gestational diabetes mellitus. Medical files: patient history, pregnancy calendar. Pregnancy was regularly monitored main ultrasound foetometry, dynamics control Doppler velocimetry. Ultrasonographic signs abnormal haemodynamics underlying were detected first scan 11–13 6 term as collar space thickening foetus. Hydramnios foetus oligohydramnios other diagnosed 28 weeks’ conclusively indicating syndrome. This evidence suggested formation anastomoses, which confirmed morphologically placenta examination. Conclusion. A timely diagnosis correction emerging complications allowed prolongation hospital conditions 33–34 weeks. Both boys live-born Apgar score 7–8.