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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Main Authors: Luiz Felipe Lessa Ortiz (Author), Julio Elito Júnior (Author), Edward Araujo Júnior (Author), Alberto Borges Peixoto (Author), Nelson Sass (Author), Antonio Fernandes Moron (Author)
Format: Book
Published: Hindawi Limited, 2018-01-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Luiz Felipe Lessa Ortiz  |e author 
700 1 0 |a Julio Elito Júnior  |e author 
700 1 0 |a Edward Araujo Júnior  |e author 
700 1 0 |a Alberto Borges Peixoto  |e author 
700 1 0 |a Nelson Sass  |e author 
700 1 0 |a Antonio Fernandes Moron  |e author 
245 0 0 |a Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus 
260 |b Hindawi Limited,   |c 2018-01-01T00:00:00Z. 
500 |a 2090-6684 
500 |a 2090-6692 
500 |a 10.1155/2018/1302041 
520 |a 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. 
546 |a EN 
690 |a Gynecology and obstetrics 
690 |a RG1-991 
655 7 |a article  |2 local 
786 0 |n Case Reports in Obstetrics and Gynecology, Vol 2018 (2018) 
787 0 |n http://dx.doi.org/10.1155/2018/1302041 
787 0 |n https://doaj.org/toc/2090-6684 
787 0 |n https://doaj.org/toc/2090-6692 
856 4 1 |u https://doaj.org/article/2e71c2c3afb84eca84ef9ed4b79f45d0  |z Connect to this object online.