Premium
Early prenatal sonographic diagnosis of twin triploid gestation presenting with fetal hydrops and theca‐lutein ovarian cysts
Author(s) -
Frates Mary C.,
Feinberg Bruce B.
Publication year - 2000
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/(sici)1097-0096(200003/04)28:3<137::aid-jcu6>3.0.co;2-4
Subject(s) - gestation , medicine , pregnancy , theca , lutein , obstetrics , fetus , twin pregnancy , monozygotic twin , prenatal diagnosis , gynecology , endocrinology , ovary , biology , genetics , botany , carotenoid
The presence of theca‐lutein ovarian cysts in the early second trimester of pregnancy is highly suspicious for a complete hydatidiform molar pregnancy but can be seen in association with a partial mole. Theca‐lutein cysts may occur following hormonal stimulation for assisted reproductive techniques or in association with multiple gestations. Rare causes include immune and nonimmune fetal hydrops, maternal hypothyroidism, and triploid gestations. We report a case of a monochorionic twin gestation in which prenatal sonography demonstrated multiple anomalies and hydrops in each twin and bilateral theca‐lutein ovarian cysts. Triploidy in both twins and a partial hydatidiform mole were confirmed at pathologic examination. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:137–141, 2000.