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이태화,김성한 고신대학교 의과대학 2009 고신대학교 의과대학 학술지 Vol.24 No.2
The antepartum death of one fetus in twin pregnancy is a rare obstetric complication. One fetal demise of twin pregnancy in the second or third trimester is an unusual and difficult problem in the management of pregnancy. It can be associated with an increased risk for mortality and morbidity in the remaining fetus and with maternal DIC(Disseminated intravascular coagulation). If one fetus in twin pregnancy died in uterus remote from term and another fetus did not, the dead fetus will be compressed between the uterine wall and the membrane of living fetus, becomes a fetus compress or fetus papyraceous. Concern for the surviving fetus after death of its co-twin is balanced between the risk of preterm birth and those involving exposure to events in uterus that may threaten its well-being. Recently we experienced a case of twin pregnancy complicated by the death of one fetus. We represent a case in diamnionic monochorionic twin pregnancy with a brief review of literatures.
쌍태 임신에서 한 명의 태아 사망으로 인한 생존아의 다낭성 뇌연화증
류기영(Ki Young Ryu),최병민(Byung Min Choi),송순영(Soon Young Song),오화은(Hwa Eun Oh) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.3
The antepartum death of a fetus in a twin pregnancy may cause significant risk of mortality and morbidity in the surviving infant. Especially, one fetal demise of a twin pregnancy in the second or third trimester is an uncommon and difficult problem in the management of pregnancy. In this report, we present a case of single intrauterine death in a twin gestation diagnosed in the 27th week of pregnancy and the surviving fetus exhibits multicystic encephalomalacia three weeks later, antenatally.
천상훈 ( Sang Hoon Cheon ),김라현 ( Ra Hyun Kim ),백민현 ( Min Hyun Baek ),김일동 ( Il Dong Kim ),정세민 ( Se Min Jang ),백승삼 ( Seung Sam Baik ),박문일 ( Moon Il Park ) 대한주산의학회 2008 Perinatology Vol.19 No.3
A death of one fetus in twin pregnancy is a rare obstetric complication. And the stenosis of umbilical cord artery is a very rare complication of cord abnormalities. The umbilical cord showed a false knot due to accentuation of a vascular spiral with a dilated vein and two arteries with incomplete patency of the lumen. This is the first report of single demise of twin pregnancy due to umbilical artery stenosis and umbilical vein varix.