Stuck twin syndrome

Case contributed by Dr Maulik S Patel

Presentation

Second gravida lady came for a routine 2nd trimester ultrasound. 1st trimeter ultrasound had shown a monochorionic, diamniotic twin

Patient Data

Age: about 25 yrs
Gender: Female
Ultrasound

Live twin intra-uterine pregnancy is seen. A separating membrane is seen.

Fetus  A

  • on maternal right side - unstable lie
  • amniotic sac -  polyhydramnios noted
  • fetus shows normal body movements and cardiac activity

Fetus  B 

  • on maternal left side - breech lie; stuck to left lateral uterine wall
  • amniotic sac - nearly absent liqour
  • fetus shows normal cardiac activity

Single placenta - anterior.

Case Discussion

Doppler was not done (was not aware of the requirement). Patient was referred to a dedicated obstetric sonologist; however no feed back received.

Case shows classic grey-scale findings of stuck twin syndrome.

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Case information

rID: 35093
Case created: 22nd Mar 2015
Last edited: 17th Dec 2015
System: Obstetrics
Inclusion in quiz mode: Included

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