Renal and cerebral necrosis in survivor after in utero death of co-twin

Bulla, M; T, von Lilien; Goecke, Helmuth; Roth, Bernhard; Ortmann, Monika; Heising, J

doi:10.1007/bf02134045

Cited by 26 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The combination of the ten series and all case reports published during the same time interval [22][23][24][25][26][27][28][29][30][31] does not provide conclusive evidence on which variables may affect the outcome of the survivor. It appears that there are no differences if single intrauterine death occurs in cases of twin-twin transfusion syndrome (11 intact survivors of 25) compared to cases where there were no echographic signs of twin-twin transfusion syndrome (nine of 15, not significant), but the number of pregnancies which can be analyzed for this purpose is clearly insufficient.…”

Section: The Surviving Twin: Review Of the Literaturementioning

confidence: 99%

Single intrauterine death in monochorionic twin pregnancies

Nicolini

Poblete

1999

Ultrasound in Obstet & Gyne

117

View full text Add to dashboard Cite

Section: The Surviving Twin: Review Of the Literaturementioning

confidence: 99%

Single intrauterine death in monochorionic twin pregnancies

Nicolini

Poblete

1999

Ultrasound in Obstet & Gyne

117

View full text Add to dashboard Cite

“…Many of the descriptions in the literature are also similar to the case here shown, but conclusive proof of prenatal DIC with de fi nitive coagulation studies has been dif fi cult to obtain. In a case of macerated MoMo twin with a term live-born co-twin, Bulla et al ( 1987 ) found neonatal platelet counts of 67,000/mm 3 that later rose to 300,000/mm 3 . The infant died on day 10 with bilateral renal, splenic, and central nervous system (CNS) necroses.…”

Section: Monoamnionic Monochorionic Twin Placentamentioning

confidence: 97%

Multiple Pregnancies

Benirschke¹,

Burton²,

Baergen³

2012

Pathology of the Human Placenta

View full text Add to dashboard Cite

“…The hypothesis of embolization is also highlighted by the five cases of monochorionic twins with sonographically diagnosed cerebral defects in survivors reported by Patten et al [31]. Among the numerous other cases reported, that of Bulla et al [6] is of interest. They decribed a neonate with cerebral and renal necrosis, associated with a macerated cotwin.…”

Section: Outcome Of the Surviving Twinmentioning

confidence: 91%

Intrauterine Death in Multiple Gestation

Liu

Benirschke²,

Scioscia³

et al. 1992

Acta genet. med. gemellol.: twin res.

View full text Add to dashboard Cite

Intrauterine death of one fetus in a multiple gestation is associated with significant morbidity and mortality in the surviving infant. This study is a retrospective review of 38 twin and 3 triplet gestations involving the intrauterine death of at least one fetus. The obstetrical history, placental pathology, autopsy findings, and neonatal history of the surviving infant are reviewed. Three cases involved the recent stillbirth of both twins, the remaining cases involved a surviving infant. In one case, neonatal death of a surviving twin occurred on day 19. In two sets of triplets, two stillbirths occurred, in the third case two infants were liveborn. The incidence of preterm delivery was 34%, which decreased to 18% if fetal cotwin death had occurred before 20 weeks gestation. Cesarean section was the method of delivery in 16 cases. There was an excess of velamentous cord insertions, which was most pronounced in the stillborn twin. Monochorionic placentation was found in 72%, also an excess.Neurological damage was known to have occurred in 19 of the 39 surviving infants. Fifteen of these 19 (79%) were associated with monochorionic placentation. The neurologically damaged twin infants, when compared to the normal infants, had the cotwin die later in gestation (31 vs 16.5 weeks), had a shorter duration between the death of the cotwin and delivery (2.5 vs 21 weeks), and delivered earlier in gestation (36.5 vs 39.5 weeks). The probable cause of neurological damage, in our opinion, was either exsanguination into the dead twin fetus, or disseminated intravascular coagulation which occurred in at least 13 cases. The incidence of antepartum death in a multiple gestation, and the potential for neurological damage is probably higher than previously thought. A review of the literature is presented and the clinical implications of this phenomenon are discussed.

show abstract

Renal and cerebral necrosis in survivor after in utero death of co-twin

Cited by 26 publications

References 9 publications

Single intrauterine death in monochorionic twin pregnancies

Single intrauterine death in monochorionic twin pregnancies

Multiple Pregnancies

Intrauterine Death in Multiple Gestation

Contact Info

Product

Resources

About