A Rare Case of Antepartum Spontaneous Septostomy in a Monochorionic Diamniotic Twin Pregnancy
Spontaneous septostomy in a monochorionic diamniotic twin pregnancy is a rare phenomenon. We present a case of monochorionic diamniotic twin pregnancy with an intact dividing membrane seen in the 1st half of the pregnancy. At 26 weeks, when she was assessed for preterm contractions, the dividing mem...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2012/748614 |
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| author | Rati Chadha Ian R. Lange Lisa Bratz Stephanie L. Cooper Anne Roggensack Jo-Ann Johnson |
| author_facet | Rati Chadha Ian R. Lange Lisa Bratz Stephanie L. Cooper Anne Roggensack Jo-Ann Johnson |
| author_sort | Rati Chadha |
| collection | DOAJ |
| description | Spontaneous septostomy in a monochorionic diamniotic twin pregnancy is a rare phenomenon. We present a case of monochorionic diamniotic twin pregnancy with an intact dividing membrane seen in the 1st half of the pregnancy. At 26 weeks, when she was assessed for preterm contractions, the dividing membrane was not documented, which suggested spontaneous septostomy. There had been no invasive procedures during the pregnancy. She subsequently delivered at 29 weeks, secondary to preterm labor. No dividing membrane was noticed at the time of caesarian section. Spontaneous septostomy can complicate the management of monochorionic diamniotic twins by creating a pseudomonoamniotic environment resulting in cord entanglement, and difficulty in the diagnosis and management of twin-twin transfusion syndrome. We believe that such a case should be managed as monochorionic monoamniotic twin gestation. |
| format | Article |
| id | doaj-art-547dd2de736e48c8a43cd173e261e57e |
| institution | OA Journals |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-547dd2de736e48c8a43cd173e261e57e2025-08-20T02:05:45ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922012-01-01201210.1155/2012/748614748614A Rare Case of Antepartum Spontaneous Septostomy in a Monochorionic Diamniotic Twin PregnancyRati Chadha0Ian R. Lange1Lisa Bratz2Stephanie L. Cooper3Anne Roggensack4Jo-Ann Johnson5Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Foothills Medical Center, Calgary, AB, T2N 2T9, CanadaDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Foothills Medical Center, Calgary, AB, T2N 2T9, CanadaDepartment of Diagnostic Imaging, Foothills Medical Center, Calgary, AB, T2N 2T9, CanadaDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Foothills Medical Center, Calgary, AB, T2N 2T9, CanadaDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Foothills Medical Center, Calgary, AB, T2N 2T9, CanadaDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Foothills Medical Center, Calgary, AB, T2N 2T9, CanadaSpontaneous septostomy in a monochorionic diamniotic twin pregnancy is a rare phenomenon. We present a case of monochorionic diamniotic twin pregnancy with an intact dividing membrane seen in the 1st half of the pregnancy. At 26 weeks, when she was assessed for preterm contractions, the dividing membrane was not documented, which suggested spontaneous septostomy. There had been no invasive procedures during the pregnancy. She subsequently delivered at 29 weeks, secondary to preterm labor. No dividing membrane was noticed at the time of caesarian section. Spontaneous septostomy can complicate the management of monochorionic diamniotic twins by creating a pseudomonoamniotic environment resulting in cord entanglement, and difficulty in the diagnosis and management of twin-twin transfusion syndrome. We believe that such a case should be managed as monochorionic monoamniotic twin gestation.http://dx.doi.org/10.1155/2012/748614 |
| spellingShingle | Rati Chadha Ian R. Lange Lisa Bratz Stephanie L. Cooper Anne Roggensack Jo-Ann Johnson A Rare Case of Antepartum Spontaneous Septostomy in a Monochorionic Diamniotic Twin Pregnancy Case Reports in Obstetrics and Gynecology |
| title | A Rare Case of Antepartum Spontaneous Septostomy in a Monochorionic Diamniotic Twin Pregnancy |
| title_full | A Rare Case of Antepartum Spontaneous Septostomy in a Monochorionic Diamniotic Twin Pregnancy |
| title_fullStr | A Rare Case of Antepartum Spontaneous Septostomy in a Monochorionic Diamniotic Twin Pregnancy |
| title_full_unstemmed | A Rare Case of Antepartum Spontaneous Septostomy in a Monochorionic Diamniotic Twin Pregnancy |
| title_short | A Rare Case of Antepartum Spontaneous Septostomy in a Monochorionic Diamniotic Twin Pregnancy |
| title_sort | rare case of antepartum spontaneous septostomy in a monochorionic diamniotic twin pregnancy |
| url | http://dx.doi.org/10.1155/2012/748614 |
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