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Case Reports
. 2018 Jan 8:2018:1302041.
doi: 10.1155/2018/1302041. eCollection 2018.

Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus

Luiz Felipe Lessa Ortiz  1 , Julio Elito Júnior  1 , Edward Araujo Júnior  1 , Alberto Borges Peixoto  1   2 , Nelson Sass  1 , Antonio Fernandes Moron  1
Affiliations
Case Reports

Mirror Syndrome in Monochorionic Twin Pregnancy with Acardiac Fetus

Luiz Felipe Lessa Ortiz et al. Case Rep Obstet Gynecol. .

Abstract

We report the case of a 20-year-old patient, primigravida, with twin monochorionic pregnancy, with a weight gain of 6 kg in one week and increased blood pressure. During the ultrasound diagnostic investigation, placental edema and hydrops were identified in both fetuses, which, in association with maternal anasarca and pressure control, constitute the triad for mirror syndrome, also known as triple edema. In addition to being hydropic, one of the twins was an acardiac fetus, which is a rare combination of events. Gestation was terminated at 22 weeks and five days because of high maternal risk. The patient progressed with clinical and laboratory improvement. Our study is relevant in that it documents an extremely rare case and discusses relevant aspects of the symptoms and diagnosis of mirror syndrome. It also systematically reviews the condition.

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Figures

Figure 1
Figure 1
Hydropic placenta on the left; second acardiac and hydropic twin in the center; and first hydropic twin on the right.
Figure 2
Figure 2
(a) Right lower limb showing edema on the day of labor induction with signs of Godet; (b) lower limbs on the second day after termination of gestation.
See this image and copyright information in PMC

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