Ischemic ileal perforation in the donor of monochorionic twins complicated by twin-twin transfusion syndrome

Kiyomi Tsukimori, Yasuo Yumoto, Kouji Masumoto, Tomoaki Taguchi, Haruhiko Kondo, Katsuo Sueishi, Norio Wake

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4 Citations (Scopus)

Abstract

Twin-twin transfusion syndrome (TTTS) carries a significant risk of perinatal morbidity and mortality. Serial amnioreduction and fetoscopic laser photocoagulation have decreased perinatal mortality, thereby shifting attention towards short-term and long-term morbidity. Most morbidity occurs within the central nervous system. Ischemic lesions, however, such as congenital skin loss and limb necrosis may occur anywhere in the vasculature of recipient twins. Ischemia may also occur during serial amnioreduction and fetoscopic laser photocoagulation. We report a case of ileal perforation in the donor twin of untreated TTTS. Histopathology showed a focal area of erosion, possibly from ischemia. We also discuss the clinical features of ischemic intestinal complications of TTTS and review the literature.

Original languageEnglish
Pages (from-to)173-176
Number of pages4
JournalFetal Diagnosis and Therapy
Volume26
Issue number3
DOIs
Publication statusPublished - Dec 1 2009

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All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Embryology
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynaecology

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