Twin-Twin Transfusion Syndrome After Radiofrequency Ablation in Dizygotic Monochorionic Triamniotic Triplet Pregnancy With Sex Discordance: A Case Report.

IF 4.3 3区材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC ACS Applied Electronic Materials Pub Date : 2022-06-30 eCollection Date: 2022-01-01 DOI:10.3389/fmed.2022.924356

Mingming Tang, Xingbo Tian, Jianglai Luo, Xiaohang Zhang, Suzhen Ran, Jiaojiao Xiong, Yanlin Chen, Gongli Chen

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Abstract

Background: We report a case of dizygotic monochorionic triamniotic triplet pregnancy. Twin-twin transfusion syndrome was subsequently diagnosed combined with sex discordance in the two surviving fetuses after one fetus was reduced, which is extremely rare and has not been previously reported.

Case presentation: After reducing one fetus by radiofrequency ablation of a monochorionic triamniotic triplet pregnancy, twin-twin transfusion syndrome was subsequently diagnosed combined with sex discordance in the two surviving fetuses. Amniotic fluid for chromosome analysis showed normal karyotype 46, XY/46, XX of the donor and recipient fetus, and short tandem repeat (STR) analysis revealed dizygotic twins.

Conclusions: Through this is an unusual case, we aim to emphasize the importance of accurate diagnosis of chorionicity and zygosity in sex discordant triplet pregnancy, which is the key to appropriate clinical management.

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双卵单绒毛膜三羊膜三胞胎妊娠伴性别不一致射频消融术后双胎输血综合征一例报告。

背景:我们报告一例异卵单绒毛膜三胎妊娠。在一个胎儿减少后，双胞胎输血综合征随后被诊断为两个存活胎儿的性别不一致，这是极其罕见的，以前没有报道过。病例介绍:射频消融单绒毛膜三羊膜三胞胎妊娠后减少了一个胎儿，随后诊断为双胎输血综合征合并性别不一致的两个幸存的胎儿。羊水染色体分析显示供、受体胎儿核型46、XY/46、XX正常，短串重复(STR)分析显示异卵双胞胎。结论:通过这一罕见的病例，我们旨在强调准确诊断性别不一致三胞胎妊娠的绒毛膜性和合子性的重要性，这是正确临床处理的关键。

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来源期刊

ACS Applied Electronic Materials Multiple-

CiteScore

7.20

自引率

4.30%

发文量

567

期刊介绍： ACS Applied Electronic Materials is an interdisciplinary journal publishing original research covering all aspects of electronic materials. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials science, engineering, optics, physics, and chemistry into important applications of electronic materials. Sample research topics that span the journal's scope are inorganic, organic, ionic and polymeric materials with properties that include conducting, semiconducting, superconducting, insulating, dielectric, magnetic, optoelectronic, piezoelectric, ferroelectric and thermoelectric. Indexed/Abstracted： Web of Science SCIE Scopus CAS INSPEC Portico

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