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Case Reports
. 2024 Nov:302:386-387.
doi: 10.1016/j.ejogrb.2024.08.003. Epub 2024 Aug 13.

Twin reversed arterial perfusion (TRAP) sequence and placenta accreta

Maureen Cohen Bacry  1 , Marion Le Hegarat  2 , Marc Althuser  2 , Virginie Guigue  2 , Pierre-Louis Forey  2 , Didier Riethmuller  2
Affiliations
Case Reports

Twin reversed arterial perfusion (TRAP) sequence and placenta accreta

Maureen Cohen Bacry et al. Eur J Obstet Gynecol Reprod Biol. 2024 Nov.

Abstract

TRAP sequence is a rare and severe complication of monozygotic pregnancies. We present the case of a 35 years old woman, diagnosed with a TRAP sequence for her second pregnancy, whose delivery was complicated of a severe hemorrhage from an unknown placenta accreta, making a hysterectomy necessary. If abnormal placentation is more frequent in multiple pregnancies, the physiopathology of TRAP sequence could explain the association with accreta placentation. One should keep in mind that a rare pathology can hide another.

Keywords: Accreta placentation; Hysterectomy; Trap sequence; Ultrasound.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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