Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
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Twin anemia polycythemia sequence in a dichorionic diamniotic pregnancy: a case report

  • Lee, Soo-Young (Department of Obstetrics and Gynecology, Yeungnam University Hospital) ;
  • Bae, Jin Young (Department of Obstetrics and Gynecology, Daegu Catholic University School of Medicine) ;
  • Hong, Seong Yeon (Department of Obstetrics and Gynecology, Daegu Catholic University School of Medicine)
  • Received : 2021.03.17
  • Accepted : 2021.06.04
  • Published : 2022.04.30
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Abstract

Complications related to the vascular anastomosis of the placental vessels in monochorionic twins are fatal. The clinical syndromes of feto-fetal transfusion include twin anemia polycythemia sequence (TAPS), twin-twin transfusion syndrome, and twin reversed arterial perfusion sequence. We present an extremely rare case of TAPS in a dichorionic diamniotic pregnancy. A 36-year-old woman, gravida 0, para 0, was referred to our hospital with suspected preterm premature membrane rupture. Although her pelvic examination did not reveal specific findings, the non-stress test result showed minimal variability in the first fetus and late deceleration in the second one. An emergency cesarean section was performed. The placenta was fused, and one portion of the placenta was pale, while the other portion was dark red. The hemoglobin level of the first fetus was 7.8 g/dL and that of the second one was 22.2 g/dL.

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References

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