Publication: Twin to Twin Transfusion Syndrome: A Case Report
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
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.
Description
Pooja Agrawal
Department of Radiology, Norvic International Hospital, Thapathali, Kathmandu, Nepal
Achala Vaidya
Department of Obstetrics and Gynecology, Norvic International Hospital, Thapathali, Kathmandu, Nepal
Anshu Vaidya
Department of Obstetrics and Gynecology, Norvic International Hospital, Thapathali, Kathmandu, Nepal
Subash Phuyal
Department of Radiology, Grande International Hospital, Tokha, Kathmandu, Nepal
Asmita Pandey
Department of Obstetrics and Gynecology, Norvic International Hospital, Thapathali, Kathmandu, Nepal
Keywords
Case reports, Fetoscopy, Oligohydramnios, Polyhydramnios, Twins