Second trimester selective termination in a dizygotic twin pregnancy with discordancy for Arnold-Chiari malformation: A case report.
- Author:
Sang Hun LEE
1
;
Sung Ho PARK
;
Ki Han PARK
;
Hyun Jin CHO
;
Tea Bum CHUNG
;
Hyun Ah JUN
;
Keun Young LEE
Author Information
1. Department of Obstetrics and Gynecology, College of Medicine, Hallym University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Selective termination;
Arnold-Chiari Malformation;
Twin pregnancy
- MeSH:
Adult;
Arnold-Chiari Malformation*;
Emergencies;
Female;
Fetus;
Frontal Bone;
Humans;
Hydrocephalus;
Membranes;
Meningocele;
Pectinidae;
Potassium Chloride;
Pregnancy;
Pregnancy Trimester, Second*;
Pregnancy*;
Pregnancy, Twin;
Rupture;
Twins, Dizygotic*;
Ultrasonography
- From:Korean Journal of Obstetrics and Gynecology
2001;44(11):2117-2121
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 38-year-old woman with twin pregnancy was referred after detection of hydrocephalus in one fetus at 23+1 weeks' gestation. Sonography showed hydrocephalus, a scalloping of the frontal bone giving a lemon-like configuration, and meningocele. The affected twin was terminated by ultrasonographically guided intracardiac injection of 4 ml (8 mEq/L) potassium chloride solution at 24+5 weeks' gestation. Chromosomal analysis of the other fetus showed normal findings (46, XX). Serial ultrasound scans and coagulopathy tests were unremarkable. Preterm premature rupture of the membrane was developed at 33+3 weeks' gestation, and emergency Cesarian section was done. A healthy 1360 g female was born, with Apgar scores of 7 and 8 at one and five minutes, respectively.
