Combined intravascular-intraperitoneal transfusions in hydropic twins due to Rh (D) alloimmunization.
Fetal hydrops due to Rh (D) alloimmunization can be reversed by ultrasound-guided intravascular transfusions with improvement in perinatal morbidity and mortality. We report a case of in utero intravascular transfusion in hydropic twins which reversed all the hydropic findings within 3 days. A simple intraperitoneal transfusion was performed in each twin 2 weeks later, and only one neonatal exchange transfusion was required for the ultimate survival of both twins.
Santolaya
J
J
Eastern Virginia Medical School, Division of Maternal Fetal Medicine, Norfolk.
Warsof
S L
SL
D000328:Adult; D001805:Blood Transfusion, Intrauterine / Q000379:methods*; D002245:Carbon Dioxide / Q000097:blood; D005078:Exchange Transfusion, Whole Blood; D005260:Female; D005312:Fetal Blood / Q000737:chemistry; D006400:Hematocrit; D006801:Humans; D006859:Hydrogen / Q000097:blood; D015160:Hydrops Fetalis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D010100:Oxygen / Q000097:blood; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic; D012203:Rh Isoimmunization / Q000150:complications*; D014463:Ultrasonography
D002245:Carbon Dioxide; D006859:Hydrogen; D010100:Oxygen