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2014, Number 1

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Rev Hosp Jua Mex 2014; 81 (1)

Síndrome en espejo

Tovar-Rodríguez JM, Hernández-Aldana FJ, Hernández-Vivar L, Vargas-Hernández VM
Full text How to cite this article

Language: Spanish
References: 6
Page: 56-59
PDF size: 182.44 Kb.


Key words:

Ballantyne syndrome, mirror syndrome, fetal hydrops, preeclampsia.

ABSTRACT

Mirror syndrome or Ballantyne syndrome was described in 1892, is associated with edema maternal fetal and placental hydrops initially believed only related to Rh isoimmunization, however also associated with nonautoimmune hydrops, major clinical features are edema maternal, sudden weight gain, progressive dyspnea and hypertension similar to preeclampsia, the product develops pleural effusion, ascites or peripheral edema, and polyhydramnios. A case of a 32 year old woman, gravida III, AI CII entering the hospital for abdominal rapid growth, abnormal fetal heart rate, polyhydramnios and respiratory distress during hospitalization have high blood pressure and starts to labor, Kerr practiced cesarean rate and you get male with generalized edema, severe apgar 1/0, weighing close to 4 kg, confirmed polyhydramnios, which dies after 10 min, the evolution of the patient is satisfactory and leave the hospital four days later in good condition with no maternal hypertension or edema. Mirror syndrome is characterized by severe malformations that reflects the important hemodynamic mother, perinatal outcome is bad in most newborns and mothers is satisfactory and that no reported cases pregnancy is allowed to proceed, is interrupted as the diagnosis is made and this prevents the disease evolves.


REFERENCES

  1. Bustos JC, Bórquz S. Síndrome de Ballantyne. Rev Chil Ultrasonog 2009; 12: 58-61.

  2. Braun T, Brauer M, Fuchs I, Czernik Ch, Dudenhausen JW, Henrich W, Sarioglu N. Mirror syndrome: A systematic review of fetal associated conditions, maternal presentation and perinatal outcome. Fetal Diagn Ther 2010; 27: 191-203.

  3. Lockwood Ch, Nadel AS, King ME, Roberts DJ. Case 16-2009: A 32 year-old pregnant woman with an abnormal fetal ultrasound study. N Engl J Med 2009; 360: 2225-35.

  4. Trainor B, Tubman R. The emerging pattern of hydrops fetalis. Incidence, aetology and management. Ulster Med J 2006; 75(3): 185-6.

  5. Torres LG, Silva ME, González R. Síndrome de Ballantyne o síndrome en espejo. Ginecol Obstet Mex 2010; 78(11): 621-5.

  6. Proust S, Philippe HJ, Paumier A, Joubert M, Boog g, Winer N. Une pré-éclampsie en miroir: le syndrome de Ballantyne. Á propos de deux cas. J Gynecol Obstet Biol Reprod 2006; 35: 270-4.




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Rev Hosp Jua Mex. 2014;81