Journal of
eISSN: 2373-4396
Submit manuscript...
Clinical Images Volume 11 Issue 6
Sequence trap (twin reverse arterial perfusion): a case report
Ahmed Guennoun,
Verify Captcha
Regret for the inconvenience: we are taking measures to prevent fraudulent form submissions by extractors and page crawlers. Please type the correct Captcha word to see email ID.
Yousra Krimou
Verify Captcha
Regret for the inconvenience: we are taking measures to prevent fraudulent form submissions by extractors and page crawlers. Please type the correct Captcha word to see email ID.
Department of Obstetrics and Genecology I, Hassan II University Hospital, Morocco
Correspondence: Ahmed Guennoun, Department of Obstetrics and Genecology I, Hassan II University Hospital, Morocco
Received: April 02, 2018 | Published: August 29, 2018
Citation: Guennoun A, Krimou Y. Sequence trap (twin reverse arterial perfusion): a case report. J Cardiol Curr Res. 2018;11(6):237. DOI: 10.15406/jccr.2018.11.00407
Introduction
Mme. Y.D is 21years old and has been married for one year. She has no significant medical or surgical pathological history. It was her first pregnancy. She reports that it is her full term pregnancy.
The patient is referred to our unit for fetal bradycardia.Obstetrical examination finds a longitudinal fetal lie, uterine height at 35cm, SFH irregular, and uterine contractions were present at the rate of 2 contractions per 10min. Cervix was 3cm dilated at digital vaginal examination, erased at 60% and its consistency was medium. Presentation was cephalic, water bag was broken and amniotic fluid was clear (Figure 1). The ultrasound flash showed a fetal bradycardia at 80bpm with eutrophic biometry and a heterogeneous intrauterine image measuring 30x17cm, with a single homogeneous placental cake. Patient had a cesarean section for fetal bradycardia, with the extraction of the first male twin, birth weight 3100g, Apgar 9/10, then the extraction of a second acardiac twin consisting of 3 segments: upper (probably The head), body and a lower part (one limb). Delivery was directed. Venous and arterial anastomoses were found at the placental examination.
Figure 1 Twin reverse arterial perfusion.
Keywords
obstetrical examination, digital vaginal examination, amniotic fluid, placental cake, intrauterine image
Acknowledgements
None.
Conflict of interest
Author declares that there is no conflict of interest.
©2018 Guennoun, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.