Spontaneous Septostomy in a Twin Pregnancy Causing Fatal Amniotic Band Syndrome
Autor: | Carolina Hvelplund, Simon Trautner, Lisa Leth Maroun, Kasper Pihl, Pernille Pedersen |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
030219 obstetrics & reproductive medicine Respiratory distress business.industry medicine.medical_treatment Case Report Oligohydramnios General Medicine medicine.disease 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences Monochorionic Diamniotic Twin Pregnancy 0302 clinical medicine Respiratory failure medicine Gestation Caesarean section Amniotic Band Syndrome business Twin Pregnancy |
Zdroj: | Case Reports in Pediatrics |
ISSN: | 2090-6811 2090-6803 |
Popis: | Complications due to spontaneous septostomy of the dividing membrane in monochorionic diamniotic pregnancies are rarely described. Herein, we report the case of a preterm female neonate from a monochorionic diamniotic twin pregnancy delivered by caesarean section at 32 weeks of gestation. She was born with a broad band of a transparent membrane-like material firmly attached to her lower abdomen. Postnatally, she developed respiratory distress syndrome and persistent pulmonary hypertension, complicated by bilateral pneumothorax. She died due to respiratory failure when she was 1 day old. Her twin sister survived with no malformations. At postmortem examination, the neonate had severe lung hypoplasia, and the attached material was diagnosed as the dividing septum. We hypothesize that the lung hypoplasia was secondary to local oligohydramnios, which developed as a consequence of the twin being firmly stuck in the defect of the dividing membrane. To our best knowledge, spontaneous septostomy causing an ultimately fatal amniotic band syndrome has not previously been described. |
Databáze: | OpenAIRE |
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