- MeSH
- Diagnosis, Differential MeSH
- Twins, Monozygotic * MeSH
- Echocardiography MeSH
- Fetofetal Transfusion diagnostic imaging classification complications physiopathology MeSH
- Cardiomyopathy, Hypertrophic diagnostic imaging etiology congenital MeSH
- Obstetric Labor Complications MeSH
- Humans MeSH
- Infant, Newborn MeSH
- Perinatal Death etiology MeSH
- Prognosis MeSH
- Pregnancy, Twin * MeSH
- Pregnancy MeSH
- Check Tag
- Humans MeSH
- Infant, Newborn MeSH
- Pregnancy MeSH
- Publication type
- Review MeSH
- MeSH
- Twins, Dizygotic MeSH
- Twins, Monozygotic MeSH
- Fetofetal Transfusion * diagnostic imaging complications therapy diagnostic imaging diagnosis complications pathology prevention & control therapy MeSH
- Pregnancy Complications MeSH
- Humans MeSH
- Pregnancy, Multiple MeSH
- Pregnancy MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- MeSH
- Chorion embryology MeSH
- Twins, Monozygotic * genetics MeSH
- Fetofetal Transfusion diagnostic imaging pathology therapy MeSH
- Fetoscopy MeSH
- Risk Assessment MeSH
- Humans MeSH
- Diseases in Twins MeSH
- Placenta anatomy & histology diagnostic imaging MeSH
- Prenatal Care MeSH
- Fetal Growth Retardation diagnostic imaging therapy MeSH
- Pregnancy MeSH
- Ultrasonography, Prenatal MeSH
- Congenital Abnormalities diagnostic imaging epidemiology MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
Limb ischemia is an extremely rare event occuring in monochorionic twin pregnancy complicated by twin-to-twin transfusion syndrome (TTTS) and twin anemia polycythemia sequence (TAPS). The authors describe a case of TTTS and TAPS treated successfully using amnioreduction and laser ablation. However, severe ischemia of both lower extremities in the recipient twin developed after the fetal treatment. This serious complication was diagnosed on MRI in utero and confirmed postnatally. Elective amputation of the affected limbs was performed. The etiology of the disease remains unclear despite profound clinical and histopathological examinations; although the role of thromboembolism in monochorionic pregnancy seems to be most likely, this unique case of multiple limb ischemia with distinct macroscopic findings has not yet been described.
- MeSH
- Amputation, Surgical methods MeSH
- Anemia complications diagnostic imaging surgery MeSH
- Lower Extremity blood supply diagnostic imaging surgery MeSH
- Twins, Monozygotic * MeSH
- Fetofetal Transfusion complications diagnostic imaging surgery MeSH
- Ischemia complications diagnostic imaging surgery MeSH
- Humans MeSH
- Infant, Very Low Birth Weight * MeSH
- Polycythemia complications diagnostic imaging surgery MeSH
- Pregnancy MeSH
- Lower Extremity Deformities, Congenital complications diagnostic imaging surgery MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Case Reports MeSH
- MeSH
- Twins, Monozygotic * MeSH
- Fetofetal Transfusion diagnostic imaging therapy MeSH
- Risk Assessment MeSH
- Pregnancy Complications diagnostic imaging epidemiology MeSH
- Humans MeSH
- Neurodevelopmental Disorders diagnostic imaging physiopathology MeSH
- Perinatal Care organization & administration MeSH
- Placenta blood supply MeSH
- Watchful Waiting MeSH
- Pulsatile Flow MeSH
- Pregnancy, Twin MeSH
- Pregnancy MeSH
- Fetal Therapies methods instrumentation MeSH
- Ultrasonography, Prenatal MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
