2016, Number 5
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Medisur 2016; 14 (5)
Syndrome of Fetus-fetal transfusion with a single ectopic kidney in a twin donor. Case presentation
Robaina CGR, Riesgo RSC, Tristá REM
Language: Spanish
References: 10
Page: 555-560
PDF size: 89.49 Kb.
ABSTRACT
The Syndrome of Fetus-fetal transfusion presents
more frequently in dynamitic monochromic twins. In
advanced stages and without prenatal intervention,
is associated to high rates of peri natal mortality and
neurological sequel in the survivors. It is presented a
case of a pair of twins with severe depression at
birth in which it was diagnosed a Syndrome of
Fetus-fetal, later confirmed with the presence of
anemia in the donor twin and polycythemia in the
receptor twin. Both twins had an unfavourable
evolution with an early neonatal death. Necropsy
findings were comparable with secondary damage to
the syndrome, with the particularity that both had
evidences of pulmonary infection and a renal
malformation in the donor twin which is not included
in the proper malformations of this syndrome. The
objective of this work is to point out the essential
elements for the diagnosis and antenatal treatment
for this disease through the peculiarities of the
presented case.
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