Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus

We report the case of a 20-year-old patient, primigravida, with twin monochorionic pregnancy, with a weight gain of 6 kg in one week and increased blood pressure. During the ultrasound diagnostic investigation, placental edema and hydrops were identified in both fetuses, which, in association with m...

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Bibliographic Details
Published in:Case reports in obstetrics and gynecology 2018, Vol.2018 (2018), p.1-3
Main Authors: Sass, Nelson, Peixoto, Alberto Borges, Araujo Júnior, Edward, Elito Júnior, Julio, Ortiz, Luiz Felipe Lessa, Moron, Antonio Fernandes
Format: Article
Language:English
Subjects:
Case Report
Case reports
Edema
Fetuses
Gynecology
Hydrochlorothiazide
Immunology
Intensive care
Laboratories
Medical colleges
Medicine
Obstetrics
Preeclampsia
Pregnancy
Pregnant women
Systematic review
Twins
Ultrasonic imaging
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Description
Summary:We report the case of a 20-year-old patient, primigravida, with twin monochorionic pregnancy, with a weight gain of 6 kg in one week and increased blood pressure. During the ultrasound diagnostic investigation, placental edema and hydrops were identified in both fetuses, which, in association with maternal anasarca and pressure control, constitute the triad for mirror syndrome, also known as triple edema. In addition to being hydropic, one of the twins was an acardiac fetus, which is a rare combination of events. Gestation was terminated at 22 weeks and five days because of high maternal risk. The patient progressed with clinical and laboratory improvement. Our study is relevant in that it documents an extremely rare case and discusses relevant aspects of the symptoms and diagnosis of mirror syndrome. It also systematically reviews the condition.
ISSN:2090-6684
2090-6692
DOI:10.1155/2018/1302041