title: Spontaneous septostomy in monochorionic diamniotic twins resulting in cord entanglement and fetal demise.
abstract: Monoamniotic twins are known to be at risk of cord entanglement, and have an elevated perinatal morbidity and mortality associated with this. We present a case of cord entanglement in a monochorionic diamniotic (MCDA) twin pregnancy thought to be due to spontaneous septostomy. Unfortunately the cord entanglement was detected postpartum, and ultimately resulted in the demise of one of the twins. Literature review reveals this as a recognised, albeit rare, phenomena.
authors.affiliation: Royal Prince Alfred Hospital Camperdown New South Wales Australia.
authors.forename: Tina
authors.initials: T
authors.lastname: Fleming
authors.affiliation: St George Hospital Kogarah New South Wales Australia.
authors.forename: Trent
authors.initials: T
authors.lastname: Miller
keywords: cord entaglement; monoamniotic twins; monochorionic diamniotic (MCDA) twin; spontaneous septostomy