J Yeungnam Med Sci.  2022 Apr;39(2):150-152. 10.12701/yujm.2021.01060.

Twin anemia polycythemia sequence in a dichorionic diamniotic pregnancy: a case report

• Lee SY
• Bae JY
• Hong SY

• KMID: 2529273
• DOI: http://doi.org/10.12701/yujm.2021.01060

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.

Keyword

Dichorionic diamniotic twins; Twin anemia polycythemia sequence; Twin to twin transfusion syndrome

Figure

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  Fig. 1. Gross finding of the placenta of twin anemia polycythemia sequence in a dichorionic diamniotic pregnancy. The maternal surface shows the pale placental share of the donor twin (arrow) and the plethoric share of the recipient twin (arrowhead).

Reference

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