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일측 Arnold - Chiari Malformation 을 동반한 쌍태 임신에서 임신 중반기 선택적 유산 1 예
이상헌(Sang Hun Lee),박성호(Sung Ho Park),박기한(Ki Han Park),조현진(Hyun Jin Cho),정태범(Tea Bum Chung),전현아(Hyun Ah Jun),이근영(Keun Young Lee) 대한산부인과학회 2001 Obstetrics & Gynecology Science Vol.44 No.11
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.