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

研究成果: Contribution to journalArticle査読

4 被引用数 (Scopus)

抄録

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.

本文言語英語
ページ(範囲)173-176
ページ数4
ジャーナルFetal Diagnosis and Therapy
26
3
DOI
出版ステータス出版済み - 12 2009

All Science Journal Classification (ASJC) codes

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

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