Intestinal complications after antenatal fetoscopic laser ablation in twin-to-twin transfusion syndrome.
Twin-to-twin transfusion syndrome (TTTS) occurs in 9% of monochorionic twin pregnancies. An imbalanced blood flow across placental vascular communications produces a hypovolemic condition in the donor fetus and hypervolemia in the recipient fetus, leading to a variety of postnatal complications. We report 3 cases of intestinal injury in TTTS after fetoscopic laser ablation of the communicating vessels: 2 cases of intestinal atresia, and 1 case of necrotizing enterocolitis of 1 twin. Intestinal ischemic diseases have been reported after prenatal laser treatment in TTTS; with this report, we add 3 more cases.
Saura
Laura
L
Paediatric Surgery Department, Hospital Sant Joan de Déu, 08950 Esplugues de Llobregat, Universitat de Barcelona, Spain. lsaura@hsjdbcn.org
Muñoz
Ma Elena
ME
Castañón
Monsterrat
M
Eixarch
Elisenda
E
Corradini
Manuela
M
Aguilar
Cristina
C
Ma Ribó
Josep
J
D000714:Anastomosis, Surgical / Q000379:methods; D004200:Diseases in Twins / Q000601:surgery; D020345:Enterocolitis, Necrotizing / Q000209:etiology / Q000601:surgery*; D005260:Female; D005330:Fetofetal Transfusion / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D005332:Fetoscopy / Q000379:methods*; D005333:Fetus / Q000098:blood supply / Q000601:surgery*; D005865:Gestational Age; D006801:Humans; D007409:Intestinal Atresia / Q000209:etiology / Q000601:surgery; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D053685:Laser Therapy / Q000379:methods*; D010920:Placenta / Q000098:blood supply / Q000601:surgery; D011247:Pregnancy; D011248:Pregnancy Complications / Q000209:etiology / Q000601:surgery*; D011296:Prenatal Diagnosis; D013577:Syndrome; D016896:Treatment Outcome; D014430:Twins, Monozygotic; D016216:Ultrasonography, Prenatal