Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus
We report the case of a 20-year-old patient, primigravida, with twin monochorionic pregnancy, with a weight gain of 6 kg in one week and increased blood pressure. During the ultrasound diagnostic investigation, placental edema and hydrops were identified in both fetuses, which, in association with m...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/1302041 |
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| author | Luiz Felipe Lessa Ortiz Julio Elito Júnior Edward Araujo Júnior Alberto Borges Peixoto Nelson Sass Antonio Fernandes Moron |
| author_facet | Luiz Felipe Lessa Ortiz Julio Elito Júnior Edward Araujo Júnior Alberto Borges Peixoto Nelson Sass Antonio Fernandes Moron |
| author_sort | Luiz Felipe Lessa Ortiz |
| collection | DOAJ |
| description | We report the case of a 20-year-old patient, primigravida, with twin monochorionic pregnancy, with a weight gain of 6 kg in one week and increased blood pressure. During the ultrasound diagnostic investigation, placental edema and hydrops were identified in both fetuses, which, in association with maternal anasarca and pressure control, constitute the triad for mirror syndrome, also known as triple edema. In addition to being hydropic, one of the twins was an acardiac fetus, which is a rare combination of events. Gestation was terminated at 22 weeks and five days because of high maternal risk. The patient progressed with clinical and laboratory improvement. Our study is relevant in that it documents an extremely rare case and discusses relevant aspects of the symptoms and diagnosis of mirror syndrome. It also systematically reviews the condition. |
| format | Article |
| id | doaj-art-2e71c2c3afb84eca84ef9ed4b79f45d0 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-2e71c2c3afb84eca84ef9ed4b79f45d02025-02-03T00:59:50ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/13020411302041Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac FetusLuiz Felipe Lessa Ortiz0Julio Elito Júnior1Edward Araujo Júnior2Alberto Borges Peixoto3Nelson Sass4Antonio Fernandes Moron5Department of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, SP, BrazilDepartment of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, SP, BrazilDepartment of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, SP, BrazilDepartment of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, SP, BrazilDepartment of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, SP, BrazilDepartment of Obstetrics, Paulista School of Medicine, Federal University of São Paulo (EPM-UNIFESP), São Paulo, SP, BrazilWe report the case of a 20-year-old patient, primigravida, with twin monochorionic pregnancy, with a weight gain of 6 kg in one week and increased blood pressure. During the ultrasound diagnostic investigation, placental edema and hydrops were identified in both fetuses, which, in association with maternal anasarca and pressure control, constitute the triad for mirror syndrome, also known as triple edema. In addition to being hydropic, one of the twins was an acardiac fetus, which is a rare combination of events. Gestation was terminated at 22 weeks and five days because of high maternal risk. The patient progressed with clinical and laboratory improvement. Our study is relevant in that it documents an extremely rare case and discusses relevant aspects of the symptoms and diagnosis of mirror syndrome. It also systematically reviews the condition.http://dx.doi.org/10.1155/2018/1302041 |
| spellingShingle | Luiz Felipe Lessa Ortiz Julio Elito Júnior Edward Araujo Júnior Alberto Borges Peixoto Nelson Sass Antonio Fernandes Moron Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus Case Reports in Obstetrics and Gynecology |
| title | Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus |
| title_full | Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus |
| title_fullStr | Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus |
| title_full_unstemmed | Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus |
| title_short | Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus |
| title_sort | mirror syndrome in monochorionic twin pregnancy with acardiac fetus |
| url | http://dx.doi.org/10.1155/2018/1302041 |
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