Conservative management of a twin pregnancy complicated with demise of a sibling having turner syndrome

Abstract

Risk of chromosomal and structural anomalies are increased in twin pregnancies with potential loss of one fetus. Single fetal death in twin pregnancies is believed to be associated with increased risk of perinatal morbidity and mortality for the surviving twin and risk of coagulopathy affecting the mother. In this report we present a case of twin gestation with one of the fetuses having Turner syndrome with a hydrops fetalis and large cystic hygroma compressing the normal fetus. The abnormal fetus demised in the 22nd week of pregnancy. The patient was followed by conservative management and a healthy fetus was delivered by cesarean section. We discuss the risk of consumptive coagulopathy and fetal reduction procedure in a case of twin pregnancy with one demised fetus.

Ikiz gebeIiklerde krornozomal ve yapisal anornali riski artmis olup fetal kayrp gorulebilir, Ikiz gebelikteki tek fetusun olumu yasayan ikiz esinde perinatal morbidite ve mortaliteyi, annede ise koagiilopati riskini artirmaktadir. Bu cahsmada fetiislerden birinin Turner sendromlu oldugu ve fetal hidrops ile buyuk kistik higromanm eslik ettigi bir ikiz gebelik olgusu sunulmaktadir. Anormal fetus 22. gebelik haftasinda kaybedildi ve gebelik koruyucu yonetimle izlenerek saglIklI fetiis sezaryen ile dogurtuldu. Ikiz esinin kaybmin eslik ettigi ikiz gebeIiklerdeki tuketim koagulopatisi ve fetal reduksiyon islemleri tarusildi.