Single Fetal Demise in a Twin Gestation: Umbilical Vein Thrombosis

Baxi, Laxmi; Daftary, Aditya; Loucopoulos, Andrew

doi:10.1159/000010047

Cited by 10 publications

(6 citation statements)

References 3 publications

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“…It has been reported that in twin pregnancies the incidence of the death of a twin during the second trimester is 0.5-6.8%, and the rate of mortality and morbidity resulting from the death of a twin is 23-46%. 6 Major complications that may arise in the mother and the surviving fetus are disseminated intravascular coagulation, neurological and nephrological damage, and premature delivery and birth. 2 It is known that sudden hypotension in the dead fetus can trigger damage in the organ systems, notably the nervous system of the surviving twin in connection with the placental blood flow to the dead fetus.…”

Section: Discussionmentioning

confidence: 99%

Can Intrauterine Death of a Co-Twin Result in Renal Failure in the Survivor?

Aydın¹,

Díllí²,

Zencıroğlu³

et al. 2013

Renal Failure

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Multiple pregnancies are characterized by significantly higher rates of intrauterine and perinatal morbidities and fetal death compared to singleton pregnancies. It is well known that the death of a co-twin during the second and third trimester can cause damage in the other fetus. Here we report two newborn cases presenting with renal failure probably caused by intrauterine death of their co-twins shortly before birth.

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Section: Discussionmentioning

confidence: 99%

Can Intrauterine Death of a Co-Twin Result in Renal Failure in the Survivor?

Aydın¹,

Díllí²,

Zencıroğlu³

et al. 2013

Renal Failure

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“…As a result, SUA via growth restriction was considered as the cause of the intrauterine loss [10]. Fetuses with sonographically diagnosed SUA were observed to have a high prevalence of structural anomalies and chromosomal abnormalities [10] but isolated SUA was not associated with aneuploidy [1,11]. If SUA occurs together with IUGR or other associated defects, because of the high risk of aneuploidy, parents should also be counselled for amniocentesis [12].…”

Section: Discussionmentioning

confidence: 99%

Brain Damage to the Survivor within 30 min of Co-Twin Demise in Monochorionic Twins

Karsidag¹,

Kars²,

Dansuk³

et al. 2005

Fetal Diagn Ther

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Single fetal death in a twin pregnancy in the late second or early third trimester is associated with significant morbidity and mortality rate in the surviving co-twin, especially in monochorionic twin pregnancies. The common causes are twin-to-twin transfusion syndrome, chromosomal abnormalities, and congenital anomalies of the fetus or anomalies of the umbilical cord-placenta. Here we report a case of monochorionic twin pregnancy in which one fetus had a single umbilical artery (SUA) while the co-twin had two umbilical arteries. The twin with SUA died in utero at the 30th week of gestation and the other fetus was delivered by cesarean section immediately due to fetal distress diagnosed by cardiotocography. Disseminated intravascular coagulation and multicystic encephalomalacia have been observed in the surviving neonate. This case and review of the literature suggest that neurologic complication rates are also increased in monochorionic twin pregnancies with single fetal demise despite the immediate delivery as in our case.

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“…Several articles report cases of umbilical vein thrombosis. [11][12][13][14][15][16][17][18][19][20] Thrombosis was coupled with a varix in a few of these cases. 21,22 Rahemtullah et al 23 performed a retrospective study of 23 cases of umbilical vein varices, all of which were intra-abdominal.…”

Section: Discussionmentioning

confidence: 99%

Klippel-Trenaunay-Weber Syndrome Complicated by Extrafetal Umbilical Vein Varix

Cruise

Rouse

2002

Journal of Diagnostic Medical Sonography

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Klippel-Trenaunay-Weber (KTW) syndrome is a rare vascular malformation including soft-tissue hypertrophy, varicose veins, cutaneous hemangiomas, and arteriovenous fistulas.The majority of reported cases were discovered at birth; only 7 cases have been reported in utero.Varicosities of the umbilical vein in utero involving the extrafetal portion of the cord are rare.Thrombosis of these varicies often re sults in the death of the fetus.No articles, at this time, report a case of KTW associated with an umbilical varix and subsequent thrombosis.The following case describes the sonographic appearance of both these abnormalities.

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Single Fetal Demise in a Twin Gestation: Umbilical Vein Thrombosis

Cited by 10 publications

References 3 publications

Can Intrauterine Death of a Co-Twin Result in Renal Failure in the Survivor?

Can Intrauterine Death of a Co-Twin Result in Renal Failure in the Survivor?

Brain Damage to the Survivor within 30 min of Co-Twin Demise in Monochorionic Twins

Klippel-Trenaunay-Weber Syndrome Complicated by Extrafetal Umbilical Vein Varix

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