British Journal of Medicine and Medical Research, ISSN: 2231-0614,Vol.: 18, Issue.: 3
Acardius- acephalus Twin Delivery: A Case Report and Review of Literature
O. C. Onwube1, O. A. Onyegbule1*, N. A. Ododo1, A. E. Nzeribe1 and O. M. Ojukwu1 1Department of Obstetrics and Gynaecology, Federal Medical Centre, Owerri, Imo State, Nigeria.
O. C. Onwube1, O. A. Onyegbule1*, N. A. Ododo1, A. E. Nzeribe1 and O. M. Ojukwu1
1Department of Obstetrics and Gynaecology, Federal Medical Centre, Owerri, Imo State, Nigeria.
(1) Menelaos Zafrakas, Professor of Obstetrics and Gynecology, Alexander Technological Educational Institute of Thessaloniki, Thessaloniki, Greece.
(2) Salomone Di Saverio, Emergency Surgery Unit, Department of General and Transplant Surgery, S. Orsola Malpighi University Hospital, Bologna, Italy.
(1) Shigeki Taga, Kagawa Prefectural Central Hospital, Japan.
(2) Anonymous, University of Calgary, Calgary, Alberta, Canada.
(3) Abiodun S. Adeniran, University of Ilorin, Nigeria.
(4) Oslinah Buru Tagutanazvo, University of Swaziland, Swaziland.
Complete Peer review History: http://www.sciencedomain.org/review-history/16518
We present a case of a 27 year old primigravida at 36+6 weeks gestation with monochorionic diamniotic twin gestation who presented late in pregnancy with twin reversed arterial perfusion (TRAP) sequence and a diagnosis of severe preeclampsia. Twin reversed arterial perfusion syndrome is a very rare manifestation of twin to twin transfusion in a monochorionic gestation where the affected twin receives vascular supply in a retrograde manner from the healthy twin. The antenatal period was poorly supervised due to the temporary closure of our centre. She had her first ultrasound scan at 15 weeks but TRAP sequence was not noted. She was delivered via an emergency lower segment caesarean section. The donor twin is currently doing well. This case underscores the need for proper training and recertification of Fetal Medicine Specialists for accurate and early diagnosis so that the Obstetrician will be fully prepared for all eventualities.
Monochorionic gestation; pump twin; Acardiac/Acephalic/Amorphous twin.
DOI : 10.9734/BJMMR/2016/25482Review History Comments