Presentation
Second gravida lady came for a routine 2nd-trimester ultrasound. 1st trimester ultrasound had shown a monochorionic, diamniotic twin
Patient Data
Age: 25 years
Gender: Female
From the case:
Stuck twin syndrome
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Live twin intrauterine pregnancy is seen. A separating membrane is seen.
Fetus A (Right, recipient fetus)
- on maternal right side - unstable lie
- amniotic sac - polyhydramnios noted
- fetus shows normal body movements and cardiac activity
Fetus B (Left, donor fetus)
- on maternal left side - breech lie; stuck to left lateral uterine wall
- amniotic sac - nearly absent liquor
- 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 feedback was received.
Case shows classic grey-scale findings of stuck twin syndrome.