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Case Reports
. 2022 Nov 3;14(11):e31047.
doi: 10.7759/cureus.31047. eCollection 2022 Nov.

Lethal Cord Entanglement

Punit Hans  1 , Gunjan Gunjan  1
Affiliations
Case Reports

Lethal Cord Entanglement

Punit Hans et al. Cureus. .

Abstract

Cord entanglement and conjoined twins are unique complications of monoamniotic monochorionic pregnancy. This case report describes a case of monoamniotic twins' intrauterine demise due to lethal cord entanglement. A 26-year-old unbooked primigravida was reported in the emergency labor room at 32 weeks with the complaint of loss of fetal movements since the previous day. On obstetric examination, the uterus appeared enlarged and discordant with the gestational age, multiple fetal parts were felt on palpation, and the pelvic grip was empty. Doppler could not detect any fetal heartbeat. The emergency obstetric sonography scan showed twins, the first in breech and the second in vertex presentation. Fetal heart sound was not found for either of the twins. The patient was counseled, and the decision was taken to terminate the pregnancy by lower-segment cesarean section. During the cesarean to deliver the babies, monochorionic and monoamniotic pregnancy was confirmed.

Keywords: antenatal care; monoamniotic twins; monochorionic monoamniotic twins; twin pregnancy; umbilical cord entanglement.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Intrauterine demise with thrombosed entangled cord
Black arrow shows thrombosed cord after entanglement
Figure 2
Figure 2. Dead twins with cord entanglement
Arrow shows cord entanglement
See this image and copyright information in PMC

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