Senior Resident,Department of Obstetrics and Gynecology, Sikkim Manipal Institute of Medical Science, Gangtok,Sikkim, India
Case Report
Monochorionic Twins with One Fetal Death
Author(s): Dipanwita Bhaumik* and Pesona Grace Lucksom
It is a common observation that one twin is usually lost (vanished) in as many as 20 % of twin gestation diagnosed in first trimester. The early loss is reported to have negligible effect on the pregnancy. Second and third trimester loss is associated with significant morbidity and mortality in the survivor. There is 20% probability of neurological damage which is difficult to predict. The surviving twin should be evaluated with USG and/or MRI. If no lesions are observed, counselling and expectant management should be adopted. The outcome is worse in monochorionic than dichorionic pregnancies. A case report of 28 years old pregnant women with parity G0000 was diagnosed with monochorionic twin gestation with one foetal death noted. Ultrasonogram revealed twin gestation with one foetal death with features of foetal Hydrops with Foetal Growth Restriction (FGR) in the live fetus. Close mo.. View More»
