Mk. Shyu et al., EXTRAUTERINE TWIN-TWIN TRANSFUSION SYNDROME AFTER BIRTH IN CONJOINED TWINS, Ultrasound in obstetrics & gynecology, 6(6), 1995, pp. 447-450
Citations number
15
Categorie Soggetti
Acoustics,"Obsetric & Gynecology","Radiology,Nuclear Medicine & Medical Imaging
Cross-circulation of conjoined twins in utero has been demonstrated an
d the extent of its severity has varied. Significant 'extrauterine' tw
in-twin transfusion syndrome after birth, however, caused by an unbala
nced shunting within the circulation has not been reported. In a case
of omphalopagus conjoined twins complicated by hypovolemia in one twin
and hypervolemia in the other, we demonstrated by color Doppler imagi
ng an aberrant vessel from the hepatic artery of one twin to the hepat
ic vein of the other. Unbalanced shunting through this aberrant vessel
was suspected and urgent separation of the conjoined twins was undert
aken. Circulatory changes after birth leading to 'extrauterine twin-tw
in transfusion syndrome' are discussed. A possible explanation of the
pathophysiology of intrauterine twin-twin transfusion syndrome is also
given.