Criscione Lily, Elmezzi Kristen, Torrealday Saioa, Staat Barton C, Hickey Kimberly
Walter Reed National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889, USA.
Uniformed Services University, 4301 Jones Bridge Rd., Bethesda, MD 20814, USA.
Case Rep Obstet Gynecol. 2019 Dec 23;2019:3757454. doi: 10.1155/2019/3757454. eCollection 2019.
Vaginal bleeding during pregnancy places women at increased risk of spontaneous abortion. Etiologies for threatened and spontaneous abortions have been well studied, but there is little information on intertwin membrane hemorrhage. We present a patient with a multiple gestation pregnancy who experienced first trimester vaginal bleeding with visualization and subsequent rapid resolution of an intertwin membrane hemorrhage. The patient had an otherwise normal pregnancy until the third trimester when she developed preeclampsia with severe features and elected for a primary cesarean section at 35 + 5 weeks. The implications of an intertwin membrane hemorrhage are not well understood, although there could be a possible correlation between the hemorrhage and the ultimate progression to preeclampsia with severe features. Despite the final diagnosis, the patient did not have any noticeable complications due to the hemorrhage both when it was discovered and in the weeks following its discovery.
孕期阴道出血会增加女性自然流产的风险。对于先兆流产和自然流产的病因已有充分研究，但关于双胎胎膜间出血的信息却很少。我们报告一例多胎妊娠患者，在孕早期出现阴道出血，超声检查发现双胎胎膜间出血，随后出血迅速消失。该患者孕期其他情况正常，直至孕晚期出现重度子痫前期，于孕35⁺⁵周择期行剖宫产术。虽然双胎胎膜间出血与最终发展为重度子痫前期之间可能存在关联，但目前对其影响尚不清楚。尽管最终确诊，但无论是在发现出血时还是发现后的几周内，患者并未因出血出现任何明显并发症。
