Publication:
Amniotic band syndrome following septostomy in management of twin-twin transfusion syndrome: A case report

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Issued Date

2008

Resource Type

Article

File Type

application/pdf

ISSN

7438346

DOI

10.1038/sj.jp.7211927

Other identifier(s)

2-s2.0-43049085915

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

Journal of Perinatology. Vol 28, No.5 (2008), p.377-379

Suggested Citation

Rujiwetpongstorn J., Tongsong T. Amniotic band syndrome following septostomy in management of twin-twin transfusion syndrome: A case report. Journal of Perinatology. Vol 28, No.5 (2008), p.377-379. doi:10.1038/sj.jp.7211927 Retrieved from: https://hdl.handle.net/20.500.14740/4035

Title

Amniotic band syndrome following septostomy in management of twin-twin transfusion syndrome: A case report

Author(s)

Rujiwetpongstorn J.
 Tongsong T.

Abstract

Septostomy, a rupture of the diamniotic membrane separating monozygotic twins essentially creating a monoamniotic gestation, is a potential therapeutic modality for twin-twin transfusion syndrome (TTTS). This may be associated with complications including cord entanglement or complete rupture of the membranes. We report a case of severe amniotic band syndrome with cord amputation after septostomy. A 33-year-old woman with a Mo-Di twin pregnancy was diagnosed with TTTS at 18 weeks of gestation. Septostomy as well as amnioreduction were performed at 24 weeks of gestation. A repeat cesarean delivery was performed at 31 weeks resulting in a live recipient baby of 1340g and a dead donor with amniotic band syndrome. The donor showed pieces of membrane tightening both legs. The right thigh became entangled in the bands connecting to the umbilical cord of the live fetus. The umbilical cord of the dead twin was completely amputated, whereas the umbilical cord of the live infant was also entrapped within the amniotic band resulting in small diameter and some degree of stricture. This is the first report of a rare but serious complication following septostomy.

Subject(s)

Acute appendicitis
 Amnion band syndrome
 Appendectomy
 Article
 Biometry
 Case report
 Cesarean section
 Chorioamnionitis
 Diastolic heart failure
 Doppler echography
 Echography
 Female
 Fetus hydrops
 Fetus lung maturation
 Fetus mortality
 Fetus weight
 Gestational age
 Growth rate
 Human
 Hydramnios
 Infant
 Leukocyte count
 Leukocytosis
 Minimally invasive surgery
 Oligohydramnios
 Polymorphonuclear cell
 Premature fetus membrane rupture
 Septostomy
 Twin twin transfusion syndrome
 Adult
 Amnion
 Amniotic Band Syndrome
 Cesarean Section, Repeat
 Constriction, Pathologic
 Female
 Fetal Death
 Fetofetal Transfusion
 Gestational Age
 Humans
 Infant, Newborn
 Postoperative Complications
 Pregnancy
 Twins, Monozygotic
 Ultrasonography, Doppler
 Ultrasonography, Prenatal
 Umbilical Cord

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URI

https://hdl.handle.net/20.500.14740/4035

Collections

Scopus: Year 1983-2021

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