Iatrogenic monoamniotic twins as a complication of therapeutic amniocentesis

被引：22

作者：

Feldman, DM ^{[1
]}

Odibo, A ^{[1
]}

Campbell, WA ^{[1
]}

Rodis, JF ^{[1
]}

机构：

[1] Univ Connecticut, Ctr Hlth, Dept Obstet & Gynecol, Div Maternal Fetal Med, Farmington, CT 06032 USA

来源：

OBSTETRICS AND GYNECOLOGY | 1998年 / 91卷 / 05期

关键词：

D O I：

10.1016/S0029-7844(97)00604-2

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Background: Therapeutic amniocentesis has been accepted widely as a safe and efficacious way to treat the polyhydramnios-oligohydramnios sequence associated with twin-twin transfusion syndrome. Case: A 28-year-old woman, gravida 2, para 1, diagnosed with twin-twin transfusion syndrome at 28 weeks' gestation was treated with serial amniocenteses. The dividing membrane was ruptured inadvertently during therapeutic amniocentesis, with subsequent complete disruption of the amniotic membrane. Iatrogenic monoamniotic twins with cord entanglement and knotting resulted. Conclusion: Creation of monoamniotic twins by disruption of the dividing membrane can be a complication of therapeutic amniocentesis for twin-twin transfusion syndrome. Such disruption may result in the same morbidity and mortality that are seen in naturally occurring monoamniotic twins. (C) 1998 by The American College of Obstetricians and Gynecologists.

引用

页码：815 / 816

页数：2

共 5 条

[1]

ELLIOTT JP, 1991, OBSTET GYNECOL, V77, P537

[2]

GILBERT WM, 1991, OBSTET GYNECOL, V78, P623

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