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Journal of Ultrasound in Medicine, Vol 12, Issue 5 307-309, Copyright © 1993 by American Institute of Ultrasound in Medicine

JOURNAL ARTICLE

Doppler sonographic detection of reverse twin-twin transfusion after intrauterine death of the donor

H. J. Jou, K. Y. Ng, R. J. Teng and F. J. Hsieh
Department of Obstetrics and Gynecology, Tao-Yuan General Hospital, Taiwan, Republic of China.

We report a "stuck" twin, in which a reverse blood shunt from the recipient to the donor was detected by Doppler sonography after death of the donor. This acute reverse transfusion caused intrauterine fetal distress and severe neonatal anemia of the surviving recipient. We believe that acute hemodynamic change after death of one fetus, in addition to causing a derangement in coagulation, causes immediate danger or subsequent organ damage for the surviving co-twin.




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Copyright © 1993 by the American Institute of Ultrasound in Medicine.