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Am J Perinatol 1994; 11(5): 317-319
DOI: 10.1055/s-2007-994543
ORIGINAL ARTICLE

© 1994 by Thieme Medical Publishers, Inc.

Marked Twin-Twin Transfusion in the Absence of Nonimmune Hydrops

David M. Sherer, J. Christopher Glantz, Leon A. Metlay, Robert A. Sinkin
  • Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Division of Neonatology, Department of Pediatrics, and Department of Pathology, Strong Memorial Hospital, University of Rochester School of Medicine and Dentistry, Rochester, New York
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Publication History

Publication Date:
04 March 2008 (online)

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ABSTRACT

The precise pathophysiology of development of nonimmune hydrops in either the recipient or donor twin associated with twin-twin transfusion syndrome is not entirely clear. At times the recipient twin may develop nonimmune hydrops, but at other times the donor twin, and infrequently both, may develop this ominous complication. We present an unusual case of this syndrome in which discordant twins, despite neonatal hematocrit levels of 86 and 21% were both nonhydropic and discuss the possible underlying pathophysiology of this occurrence.

Keywords

Twin-twin transfusion - prenatal ultrasound