TTTS treated with laser coagulation has reported eight (1.8%) cases of ABS. However, in this series, all the affected twins were recipient, seven out of eight donor twins died, and none of these had both feet affected (unlike our case). 2 Parents consenting for laser therapy in TTTS should be counselled for ABS.
Competing interests None.
Patient consent Obtained.Provenance and peer review Not commissioned; externally peer reviewed.Contributors SM diagnosed the case and was involved in researching the topic. SK and RR were involved in the management of the case. All three contributed to the writing of the article.
Undifferentiated embryonal sarcoma is the uncommon malignant mesenchymal tumor of the liver seen in children and young adults. Radiologic findings reflect the solid to cystic appearances observed in the gross specimens. The discrepancy in the appearances of the mass between the ultrasound scan and computed tomography scan is the hall mark of this tumor. Ultrasonography typically show a large mass which is hyperechoic or isoechoic (solid). Computed tomography shows cystic component of the tumor. This unique radiologic feature will help in the diagnosis of the tumour.
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