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Stuck twin syndrome without signs of twin‐to‐twin transfusion
Author(s) -
Lees C. C.,
Schwärzler P.,
Ville Y.,
Campbell S.
Publication year - 1998
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.1469-0705.1998.12030211.x
Subject(s) - medicine , twin to twin transfusion syndrome , twin twin transfusion syndrome , obstetrics , pathognomonic , polyhydramnios , obstetrics and gynaecology , ultrasound , pediatrics , fetus , pregnancy , radiology , genetics , disease , biology
Twin‐to‐twin transfusion syndrome represents a dilemma for both diagnosis and management. It has recently been suggested that a difference in contrast on B‐mode ultrasound between the placentas is pathognomonic for the syndrome. We describe a case of monochorionic diamniotic twins with normal growth in one twin, the other showing features of stuck twin syndrome. In this case, although the contrast difference between the placentas was marked, twin‐to‐twin transfusion syndrome was ruled out, rendering this sign unreliable for diagnosis. Furthermore, evaluation of the stuck twin showed excessive adrenal artery flow, a feature that has been described in connection with poor antenatal and neonatal outcome. In this case, serial Doppler ultrasound evaluation of both fetuses enabled optimal timing of delivery. Copyright © 1998 International Society of Ultrasound in Obstetrics and Gynecology