Mirror syndrome: a novel approach to therapy with fetal peritoneal-amniotic shunt.
BACKGROUND
Mirror syndrome is a rare entity characterized by maternal disease mimicking fetal hydrops. In mirror syndrome, there is maternal hypertension, edema, and often proteinuria in association with fetal hydrops. The causal link between mirror syndrome and hydrops fetalis remains elusive.


METHODS
This is a case report of a pregnant woman who developed mirror syndrome associated with fetal hydrops. A fetal pelvic mass resulted in bladder outlet obstruction, subsequent bladder rupture, and massive urinary ascites. The resultant massive ascites caused thoracic and cardiac compression and subsequent hydrops fetalis. Placement of a peritoneal-amniotic shunt resolved the fetal hydrops and maternal mirror syndrome.


CONCLUSIONS
In utero treatment of hydropic fetus can result in the cure of maternal mirror syndrome.
Department of Obstetrics and Gynecology, Maternal Fetal Medicine Division, University of Cincinnati, College of Medicine, OH 45267-0526, USA. livingjc@ucmail.uc.edu
Jeffrey C
JC
Livingston
Khurram M
KM
Malik
Timothy M
TM
Crombleholme
Foong-Yen
FY
Lim
Baha M
BM
Sibai
D000328:Adult; D001201:Ascites / Q000209:etiology / Q000601:surgery; D004322:Drainage / Q000379:methods*; D004487:Edema / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D015160:Hydrops Fetalis / Q000209:etiology* / Q000601:surgery; D046110:Hypertension, Pregnancy-Induced / Q000209:etiology / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology* / Q000601:surgery; D011256:Pregnancy Outcome; D012422:Rupture, Spontaneous; D013577:Syndrome; D016896:Treatment Outcome; D001748:Urinary Bladder Neck Obstruction / Q000150:complications / Q000209:etiology