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Monoamniotic twin cord entanglement: A case report with color flow Doppler ultrasonography for antenatal diagnosis

par Shahabi, Shohreh ;donner, catherine ;Wallond, Julia;Schlikker, Isabelle;Avni, Efraim ;Rodesch, Frédéric
Référence Journal of reproductive medicine, 42, 11, page (740-742)
Publication Publié, 1997-11

Article révisé par les pairs

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Résumé :

BACKGROUND: Monoamniotic twinning is a rare event with a high perinatal mortality rate from cord accidents. To date, only a few cases have been reported in which cord entanglement was diagnosed with Doppler ultrasonography. CASE: In a monoamniotic twin pregnancy, umbilical cord entanglement was diag- nosed at 20 weeks' gestation by color flow Doppler ultrasonography. The entanglement was associated with growth discordance between the twins and subsequent death of the smaller fetus. CONCLUSION: The rarity of this condition hinders our understanding of the pathophysiology and development of management protocols.