title: Stillbirth in dichorionic twins discordant for major and minor anomaly, followed by asynchronous delivery - a rare occurrence. Case presentation.
abstract: The single stillbirth long-term intrauterine retention in dichorionic twin pregnancy is rarely reported. Also, the birth of a fetus is followed in most cases by immediate expulsion of the second twin. We hereby present an unusual case of asynchronous delivery of dichorionic twins, associating discordance for major and minor anomaly. The intrauterine death of the twin A, presenting a large sacrococcygeal tumor, occurred in the second trimester. The deceased twin A was born at 29 weeks' gestational age (GA). The twin B was extracted by Caesarean section at 31 weeks and had a good outcome. We performed a close follow-up of the high-risk pregnancy and we used tocolytic and antibiotic drugs for prolonging it. Corticoid therapy was administered for the lung maturation of the second twin. The expectant management in the single twin stillbirth dichorionic pregnancy and the asynchronous delivery had a significant impact on the newborn outcome.
authors.affiliation: Department of Forensic Medicine, University of Medicine and Pharmacy of Craiova, Romania; zorilavaly@yahoo.com.au.
authors.forename: George Lucian
authors.initials: GL
authors.lastname: Zorilă
authors.forename: Marius Cristian
authors.initials: MC
authors.lastname: Marinaş
authors.forename: Maria
authors.initials: M
authors.lastname: Florea
authors.forename: Ciprian LaurenŢiu
authors.initials: CL
authors.lastname: Pătru
authors.forename: Roxana Cristina
authors.initials: RC
authors.lastname: Drăguşin
authors.forename: Răzvan Grigoraş
authors.initials: RG
authors.lastname: Căpitănescu
authors.forename: Marian Valentin
authors.initials: MV
authors.lastname: Zorilă
authors.forename: Roxana Eugenia
authors.initials: RE
authors.lastname: Zăvoi
authors.forename: Cristiana Eugenia
authors.initials: CE
authors.lastname: Simionescu
authors.forename: Dominic Gabriel
authors.initials: DG
authors.lastname: Iliescu
authors.forename: Ştefania
authors.initials: Ş
authors.lastname: Tudorache
mesh_terms: D000328:Adult; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D011247:Pregnancy; D011256:Pregnancy Outcome; D059285:Pregnancy, Twin; D050497:Stillbirth