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Spontaneous septostomy in monochorionic diamniotic twins resulting in cord entanglement and fetal demise

Monoamniotic twins are known to be at risk of cord entanglement, and have an elevated perinatal morbidity and mortality associated with this. We present a case of cord entanglement in a monochorionic diamniotic (MCDA) twin pregnancy thought to be due to spontaneous septostomy. Unfortunately the cord...

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Bibliographic Details
Published in:Australasian journal of ultrasound in medicine 2012-08, Vol.15 (3), p.103-106
Main Authors: Fleming, Tina, Miller, Trent
Format: Article
Language:English
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Summary:Monoamniotic twins are known to be at risk of cord entanglement, and have an elevated perinatal morbidity and mortality associated with this. We present a case of cord entanglement in a monochorionic diamniotic (MCDA) twin pregnancy thought to be due to spontaneous septostomy. Unfortunately the cord entanglement was detected postpartum, and ultimately resulted in the demise of one of the twins. Literature review reveals this as a recognised, albeit rare, phenomena.
ISSN:1836-6864
2205-0140
1836-6864
DOI:10.1002/j.2205-0140.2012.tb00014.x