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. 2017:41:68-70.
doi: 10.1016/j.ijscr.2017.10.007. Epub 2017 Oct 10.

Aplasia cutis congenita as a result of interstitial laser therapy for fetal reduction in monochorionic twins: Conservative approach and outcome

Veronica Mugarab-Samedi  1 , Abhay Lodha  2 , Adel ElSharkawy  3 , Essa Al Awad  4
Affiliations

Aplasia cutis congenita as a result of interstitial laser therapy for fetal reduction in monochorionic twins: Conservative approach and outcome

Veronica Mugarab-Samedi et al. Int J Surg Case Rep. 2017.

Abstract

Monochorionic (MC) twin pregnancies are known to carry a high risk of twin-to-twin transfusion syndrome (TTTS) that could lead to miscarriage and perinatal death. Demise of one fetus is frequently associated with co-fetal death. Fetal reduction by interstitial laser therapy is an effective procedure to prevent this outcome, but it may be associated with significant risks for both mother and fetus. Aplasia Cutis Congenita (ACC) may occur in up to 8% cases of fetal reduction by laser therapy. We report ACC in a preterm infant, a survivor of interstitial laser therapy for fetal reduction in MC pregnancy. Despite of massive skin lesions we were able to manage this case conservatively. Follow-up at 5 years of age revealed minimal scarring and no motor function limitations.

Keywords: Aplasia Cutis Congenita; Case report; Extreme prematurity; Fetal reduction; Interstitial laser therapy; Outcome.

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Figures

Fig. 1
Fig. 1
Two small ACC lesions on the right thigh after intrauterine vascular ablation.
Fig. 2
Fig. 2
Large ACC lesions on the left leg after intrauterine vascular ablation.
Fig. 3
Fig. 3
Day 35 of emollient therapy: epithelization of ACC lesions.
Fig. 4
Fig. 4
Atrophic scars at the age of 5 years.
See this image and copyright information in PMC

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