Twin-Twin Transfusion Syndrome with Mirror Syndrome Induced Labor: A Case Report

doi:10.12280/gjfckx.20210005

Abstract

Abstract:

Mirror syndrome, also known as Ballantyne syndrome, is characterized by fetal and placental edema, secondary maternal edema and hemodilution. The incidence rate of mirror syndrome is extremely low, the disease progresses rapidly, and the number of reported cases is relatively small at home and abroad. The etiology is mostly related to the factors inducing fetal edema. Twin-twin transfusion syndrome is one of the causes of fetal nonimmune edema. This article reviews the cases of twin-twin transfusion syndrome combined with mirror syndrome in the First Affililated Hospital of Nanjing Medical University in February 2019, analyzes the general situation of the patients, gives reasonable treatment intervention, and analyzes the prognosis. In the case, the patient′s condition worsened under the condition of conservative treatment, and finally chose to terminate the pregnancy. After the termination of pregnancy, the patient′s condition improved significantly, and was discharged from the outpatient clinic for follow-up. The diagnosis, differential diagnosis and treatment were discussed.

Key words: Mirror syndrome, Fetofetal transfusion, Hypertension,pregnancy-induced, Labor,induced, Case reports

TANG Xiao-tong, GE Zhi-ping. Twin-Twin Transfusion Syndrome with Mirror Syndrome Induced Labor: A Case Report[J]. Journal of International Obstetrics and Gynecology, 2021, 48(5): 521-524.

Figures/Tables 7

References 15

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指标	13日	14日	15日	16日产后	17日	18日	21日
Hb（g/L）	96	99	100	80	74	73	72
HCT（%）	27.5	27.1	28.6	22.8	21.1	20.7	21.3
白蛋白（g/L）	21.0	-	-	-	16.5	20.3	25.5
尿酸（μmol/L）	496	-	-	-	563	-	353
hCG（IU/L）	-	>269 800	-	-	28 076	6 592	-

指标	13日	14日	15日	16日产后	17日	18日	21日
Hb（g/L）	96	99	100	80	74	73	72
HCT（%）	27.5	27.1	28.6	22.8	21.1	20.7	21.3
白蛋白（g/L）	21.0	-	-	-	16.5	20.3	25.5
尿酸（μmol/L）	496	-	-	-	563	-	353
hCG（IU/L）	-	>269 800	-	-	28 076	6 592	-

指标	13日	14日	15日	16日产后	17日	18日	19日	20日
入量（mL）	760	1 600	1 000	3 383	1 260	1 983	1 900	2 300
出量（mL）	650	1 000	1 720	3 500	1 645	2 850	3 700	3 400
体质量（kg）	67	68.5	70	卧床	62	61	60	57

指标	13日	14日	15日	16日产后	17日	18日	19日	20日
入量（mL）	760	1 600	1 000	3 383	1 260	1 983	1 900	2 300
出量（mL）	650	1 000	1 720	3 500	1 645	2 850	3 700	3 400
体质量（kg）	67	68.5	70	卧床	62	61	60	57