Department of Radiology, Norvic International Hospital, Thapathali, Kathmandu, Nepal.
Department of Obstetrics and Gynecology, Norvic International Hospital, Thapathali, Kathmandu, Nepal.
JNMA J Nepal Med Assoc. 2022 Dec 1;60(256):1056-1058. doi: 10.31729/jnma.5574.
Twin-twin transfusion syndrome occurs in multiple gestations and involves a chronic flow of blood from one twin to another twin and is a rare entity. We present a case of 32-years-old primigravida with a twin pregnancy who presented with increasing abdominal girth inappropriate with her gestational age at 21 weeks of her pregnancy. Ultrasound findings were suggestive of twin-twin transfusion syndrome. The patient was provided with treatment options but due to polyhydramnios and short cervix, the patient went into spontaneous labour the same day with a poor pregnancy outcome. Twin-twin transfusion syndrome leads to a high rate of perinatal morbidity due to its poorly understood aetiology and difficulty in diagnosing and treatment. Early diagnosis during antenatal ultrasound is important in reducing morbidity and mortality rates.
case reports; fetoscopy; oligohydramnios; polyhydramnios; twins.
双胎输血综合征发生于多胎妊娠，涉及血液从一个胎儿向另一个胎儿的慢性流动，是一种罕见的疾病。我们报告了一例 32 岁初产妇的双胎妊娠病例，她在妊娠 21 周时出现了与妊娠周数不相称的腹部增大。超声检查结果提示双胎输血综合征。向患者提供了治疗选择，但由于羊水过多和宫颈短，患者当天出现自发性早产，妊娠结局不佳。双胎输血综合征由于其发病机制尚不清楚，诊断和治疗困难，导致围产期发病率较高。在产前超声检查中早期诊断对于降低发病率和死亡率非常重要。
病例报告；胎儿镜检查；羊水过少；羊水过多；双胞胎。
