Feto-feto-fetal triplet transfusion syndrome (FFFTTS).
We report a case of feto-feto-fetal-transfusion-syndrome (FFFTS) in a spontaneous monochorionic triamniotic triplet pregnancy primarily diagnosed at 17 weeks of gestation. During the course of pregnancy, sequentially two triplets appeared as donor. Symptoms of a recipient (polyhydramnios, tricuspid valve insufficiency, and ascites) were present in the third triplet. The second of the donor twins died in utero at 25 weeks. At 27 weeks, a cesarean section was performed mainly due to pre-eclampsia. The first donor triplet developed normally, whereas the recipient showed periventricular leucomalacia and neurological impairment.
Entezami
M
M
Department of Obstetrics and Gynecology, University Hospital Benjamin Franklin, Free University of Berlin, Germany.
Runkel
S
S
Becker
R
R
Weitzel
H K
HK
Arabin
B
B
D002585:Cesarean Section; D005260:Female; D005313:Fetal Death; D005330:Fetofetal Transfusion / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005865:Gestational Age; D006801:Humans; D016104:Oligohydramnios / Q000150:complications; D006831:Polyhydramnios / Q000150:complications; D011225:Pre-Eclampsia; D011247:Pregnancy; D014310:Triplets; D016216:Ultrasonography, Prenatal