An embolic complication in a donor twin with severe twin-twin transfusion syndrome after fetoscopic intervention.
Necrotic injury of an extremity in a donor twin is a rare complication of twin-twin transfusion syndrome after selective fetoscopic laser photocoagulation. We present the case of a 20-year-old gravida 2, para 1 with a twin gestation with severe twin-twin transfusion syndrome (Quintero Stage 3B) who had treatment with selective fetoscopic laser photocoagulation. Selective fetoscopic laser photocoagulation may be associated with extremity necrosis in a donor twin.
Ballard
H O
HO
Department of Pediatrics, University of Kentucky Medical Center, Lexington, KY 40536-0298, USA. hoball2@uky.edu
Shook
L
L
Lain
K Y
KY
Burns
L
L
Crombleholme
T M
TM
D000671:Amputation, Surgical; D001134:Arm Injuries / Q000209:etiology* / Q000601:surgery; D004617:Embolism / Q000209:etiology*; D005260:Female; D005330:Fetofetal Transfusion / Q000601:surgery*; D005332:Fetoscopy / Q000009:adverse effects*; D006801:Humans; D007231:Infant, Newborn; D053685:Laser Therapy / Q000009:adverse effects*; D009336:Necrosis / Q000209:etiology*; D011247:Pregnancy; D055815:Young Adult