Brandão Ana Maria Simões, Domingues Ana Patrícia Rodrigues, Fonseca Etelvina Morais Ferreira, Miranda Teresa Maria Antunes, Moura José Paulo Achando Silva
Obstetrics Unit A, Maternidade Dr. Daniel de Matos, Centro Hospitalar e Universitário de Coimbra (CHUC), Faculdade de Medicina, Universidade de Coimbra, Portugal.
Rev Bras Ginecol Obstet. 2016 Nov;38(11):576-579. doi: 10.1055/s-0036-1593895. Epub 2016 Dec 22.
Mirror syndrome is a rare disease with unknown pathophysiology that can be present in different diseases that can cause fetal hydrops. The prognosis is usually bad with a high perinatal mortality. We report an unusual form of mirror syndrome that manifested itself only after a successful treatment for fetal hydrops (caused by twin-twin transfusion syndrome, in Quinteros stage IV) was performed. This syndrome was controlled by medical treatment, and despite the usually bad prognosis seen in these cases, we could extend the pregnancy from the 23rd to the 34th week of gestation, resulting in the birth of 2 live infants.
镜像综合征是一种病理生理学不明的罕见疾病,可出现在不同的能导致胎儿水肿的疾病中。其预后通常较差,围产期死亡率很高。我们报告了一种不寻常形式的镜像综合征,它仅在成功治疗胎儿水肿(由双胎输血综合征引起,处于昆特罗斯IV期)后才表现出来。该综合征通过药物治疗得到控制,尽管这类病例通常预后不良,但我们成功将孕周从第23周延长至第34周,最终产下两名活婴。