Štritof Petra Glad, Zanze Lucija, Zekan Paulo, Horvat Gordana, Blagaic Vladimir
Department of Obstetrics and Gynecology, University Hospital "Sveti Duh", Zagreb, Croatia.
School of Medicine, University of Zagreb, Zagreb, Croatia.
Arch Clin Cases. 2023 Dec 14;10(4):191-195. doi: 10.22551/2023.41.1004.10273. eCollection 2023.
Mirror syndrome is a rare condition of generalized maternal oedema caused by fetal hydrops. A 37-year-old patient was admitted to our hospital because of suspected mirror syndrome caused by fetal cardiomyopathy. At 26 week of gestation patient developed bilateral pulmonary oedema as her condition rapidly deteriorated. Consequently, preterm labor was induced, percutaneous evacuation of fetal ascites was performed, and the patient finally vaginally delivered stillborn fetus. Although the initial postpartum period was severely complicated by hemorrhage, the condition of the patient significantly improved later, and she was discharged seven days after delivery. We believe this case is worth presenting due to its rarity and significant perinatal and obstetric challenges in treatment of those patients. Furthermore, preimplantation genetic testing could be performed to prevent at least some of the cases.
镜面综合征是一种由胎儿水肿引起的罕见的全身性母体水肿病症。一名37岁的患者因疑似由胎儿心肌病导致的镜面综合征而入住我院。妊娠26周时，患者病情迅速恶化，出现双侧肺水肿。因此，诱发了早产，进行了经皮胎儿腹水引流，患者最终经阴道分娩出死胎。虽然产后初期因出血而严重复杂化，但患者的病情后来明显改善，分娩后七天出院。我们认为这个病例值得介绍，因为它很罕见，并且在治疗这些患者时面临重大的围产期和产科挑战。此外，可以进行植入前基因检测以至少预防一些病例。
