Renal failure in the surviving monochorionic twin after death of the co-twin in utero

Heyst, A.F.J. van; Nijhuis, Jan G.; Bult, Peter; Kaa, C.A. Hulsbergen van de; Monnens, L.A.H.; Semmekrot, B.A.

doi:10.1007/bf00863443

Cited by 6 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent publication of a case report on multicystic encephalomalacy after first-trimester intrauterine fetal death in a monochorionic twin pregnancy, supports this hypothesis, and concludes that obstetricians and pediatricians should be aware that severe cerebral injury may occur earlier than previously thought [11]. Intrauterine fetal demise of a co-twin can also lead to renal cortical necrosis and subsequent renal failure, as well as splenic and hepatic infarctions in the surviving co-twin [172,182].…”

Section: Morbidity Due To Intrauterine Fetal Demise Of Co-twinmentioning

confidence: 69%

Twin-to-Twin Transfusion Syndrome: From Placental Anastomoses to Long-Term Neurodevelopmental Outcome

Lopriore

Middeldorp²,

Sueters³

et al. 2005

CPR

View full text Add to dashboard Cite

Twin-to-twin transfusion syndrome (TTTS) is a complication of monochorionic twin pregnancies associated with high perinatal mortality and morbidity. Placental vascular anastomoses, almost invariably present in monochorionic placentas, are the essential anatomical substrate for the development of TTTS. According to recent studies, different pathophysiological mechanisms may play a role. Diagnosis of TTTS is no longer based on neonatal criteria such as birth weight discordance and hemoglobin difference, but on strict prenatal ultrasound criteria. A significant evolution in prenatal care strategies and management options for patients with TTTS has occurred during the last decade. Endoscopical laser ablation of communicating placental vessels is a new treatment modality that has led to an increase in survival rates. In perinatology, a decrease in mortality rates may be associated with an increase in morbidity rates. Follow-up studies in infants with TTTS are shedding more light on the wide range of morbidity associated with TTTS, such as neurological, cardiac and renal sequelae. This review analyzes the possible pathophysiological mechanisms involved, discusses the latest findings in diagnosis, therapy and prognosis, and focuses on neonatal and pediatric morbidity associated with TTTS.

show abstract

Section: Morbidity Due To Intrauterine Fetal Demise Of Co-twinmentioning

confidence: 69%

Twin-to-Twin Transfusion Syndrome: From Placental Anastomoses to Long-Term Neurodevelopmental Outcome

Lopriore

Middeldorp²,

Sueters³

et al. 2005

CPR

View full text Add to dashboard Cite

show abstract

“…van Heijst et al have reported that renal functions gradually deteriorate in fetuses whose monochorionic twins have died in utero and that they develop oligohydramnios. 9 Besides this, Lin et al reported that 6 of the 10 cases, whose twins died in utero, suffered from the deterioration of renal functions, that one case died because of acute renal failure, and that the renal functions of the remaining cases returned to normal. 10 In the two cases presented here, no other etiology of renal disease than the intrauterine death of one of the twins could be identified.…”

Section: Discussionmentioning

confidence: 98%

Can Intrauterine Death of a Co-Twin Result in Renal Failure in the Survivor?

Aydın¹,

Díllí²,

Zencıroğlu³

et al. 2013

Renal Failure

View full text Add to dashboard Cite

Multiple pregnancies are characterized by significantly higher rates of intrauterine and perinatal morbidities and fetal death compared to singleton pregnancies. It is well known that the death of a co-twin during the second and third trimester can cause damage in the other fetus. Here we report two newborn cases presenting with renal failure probably caused by intrauterine death of their co-twins shortly before birth.

show abstract

“…The neonate died after birth due to complications related to acute renal failure. Van Heijst et al [4] reported another case of renal failure in MC twins after IUFD of one fetus at 24 weeks' gestation. The surviving co-twin was born at 31 weeks' gestation, also with evidence of periventricular leukomalacia, and died on the 3rd day due to cardiorespiratory insufficiency.…”

Section: Discussionmentioning

confidence: 99%

Renal Failure after Single Fetal Demise in Monochorionic Twins: Incidence and Description of a Case

Genova

Sueters²,

Oepkes³

et al. 2013

Fetal Diagn Ther

View full text Add to dashboard Cite

Single intrauterine fetal demise in monochorionic (MC) twins may result in acute exsanguination from the surviving twin into the low-pressure circulation of the demised co-twin through the vascular anastomoses. This may lead to severe hypoxic-ischemic injury in the surviving twin due to hypovolemia, hypotension and anemia, resulting in multiorgan damage. Most studies in single fetal demise in MC twin pregnancies have reported on the risk of cerebral injury. The aim of our study was to explore the incidence and severity of renal damage in surviving MC twins after intrauterine co-twin death. We reviewed all cases of MC twins with single fetal demise presented over a 10-year period at our center. One of the 44 (2.3%) surviving co-twins was diagnosed with severe renal damage. We describe this case in detail, as it provides valuable insights into the pathogenesis of renal and other organ failure after MC co-twin death.

show abstract

Renal failure in the surviving monochorionic twin after death of the co-twin in utero

Cited by 6 publications

References 20 publications

Twin-to-Twin Transfusion Syndrome: From Placental Anastomoses to Long-Term Neurodevelopmental Outcome

Twin-to-Twin Transfusion Syndrome: From Placental Anastomoses to Long-Term Neurodevelopmental Outcome

Can Intrauterine Death of a Co-Twin Result in Renal Failure in the Survivor?

Renal Failure after Single Fetal Demise in Monochorionic Twins: Incidence and Description of a Case

Contact Info

Product

Resources

About