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Transvaginal ultrasound diagnosis of twin reversed arterial perfusion syndrome at 9 weeks' gestation
Author(s) -
Zucchini S.,
Borghesani F.,
Soffriti G.,
Chirico C.,
Vultaggio E.,
Di Donato P.
Publication year - 1993
Publication title -
ultrasound in obstetrics and gynecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.202
H-Index - 141
eISSN - 1469-0705
pISSN - 0960-7692
DOI - 10.1046/j.1469-0705.1993.03030209.x
Subject(s) - medicine , gestation , ultrasound , fetus , amniotic fluid , perfusion , gestational age , twin pregnancy , obstetrics and gynaecology , obstetrics , edema , pregnancy , gynecology , surgery , radiology , genetics , biology
Diagnosis of twin reversed arterial perfusion syndrome was made using transvaginal sonography at 9 weeks' gestation. The morphological evaluation of the abnormal twin revealed a dysmorphic cephalic pole and absence of the upper extremities. There was diffuse subcutaneous edema and no detectable cardiac activity. The other twin had a normal appearance and a size compatible with the gestational age. The fetuses were divided by a thin amniotic membrane with normal amniotic fluid in both sacs. Diagnosis was confirmed by demonstrating fetal growth and lower limb activity in the abnormal twin 10 days later. Copyright © 1993 International Society of Ultrasound in Obstetrics and Gynecology