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Revista Peruana de Ginecología y Obstetricia
On-line version ISSN 2304-5132
Abstract
GIL GUEVARA, Enrique; BOWER, Sarah and NICOLAIDES, Kypros. Monochorionic diamniotic twin pregnancy with selective IUGR type 2: fetoscopic and sonographic findings of ominous prognosis. Rev. peru. ginecol. obstet. [online]. 2016, vol.62, n.3, pp.285-293. ISSN 2304-5132.
A woman with a monochorionic diamniotic twin pregnancy was referred to our Centre due to a discrepancy in size between the foetuses. She was 17 weeks’ pregnant when the diagnosis of selective IUGR type 2 was made and the laser ablation of the placental anastomoses was performed. During the fetoscopy, we identified an arterio-venous anastomosis with bidirectional flow, which is atypical in this type of anastomoses (unidirectionals) and could represent a sign of ominous prognosis for the restricted twin.
Keywords : Monochorionic Twin Pregnancy; Selective IUGR; Arterio-venous Anastomosis; Fetoscopy.