3D color Doppler of monoamniotic twin cord entanglement.
Cord entanglement is a leading cause of mortality of monochorionic monoamniotic twins. Few studies focused on entanglement features/structure itself. Three-dimensional color Doppler ultrasound was conducted to evaluate the cord entanglement in monoamniotic twins at 30 weeks of gestation. Ultrasound revealed detailed features: the two cords were entangled at several points with a chain-like appearance and this complicated structure led us to closely monitor fetal well-being. Seven days later, non-reassuring fetal heart rate pattern was observed, and cesarean section was performed at 30 6/7 pregnancy week, yielding female infants without neurological sequelae. Three-dimensional color Doppler clearly delineated the features of entanglement, and thus was useful for evaluating cord entanglement in monoamniotic twins.
Kuwata
Tomoyuki
T
Department of Obstetrics and Gynecology, Jichi Medical University, 3311-1 Shimotsuke, Tochigi, 329-0498, Japan.
Matsubara
Shigeki
S
Suzuki
Mitsuaki
M
D000328:Adult; D005260:Female; D006801:Humans; D021621:Imaging, Three-Dimensional; D011247:Pregnancy; D014430:Twins, Monozygotic; D018615:Ultrasonography, Doppler, Color; D016216:Ultrasonography, Prenatal; D014470:Umbilical Cord / Q000000981:diagnostic imaging*