Monochorionic Diamniotic Twins with Ascites of the Smaller Twin
B Arabin, R Pati, K Schoner, M Enders, U Gembruch · Ultraschall in der Medizin - European Journal of Ultrasound · 2010 · Heft 09
Bibliografische Angaben
Zusammenfassung
Purpose: Monochorionic (MC) twins share a placenta by inter-twin vascular anastomoses which are the anatomical substrate for the development of twin oligo-polyhydramnios sequence (TOPS) and twin anemia-polycytemia sequence (TAPS) characterized by larger Hb differences in the absence of fluid discordance. We were confronted with a patient referred due to growth discordance of MC diamniotic (DA) twins not fitting in the pattern of either TAPS or TOPS. Patients and methods: The 27-year old G2P1 presented with MCDA twins at 18+3 weeks. Only the smaller twin was characterized by ascites and high maximal velocities >2…