Annals of Pediatric Surgery

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Ileal blowout due to ileal atresia in a donor with twinto- twin transfusion after fetoscopic laser surgery

Marceline W. Piek, Dick Oepkes, Enrico Lopriore, Caroline C. Hulsker


Twin-to-twin transfusion syndrome (TTTS) occurs in 10% of monochorionic twin pregnancies, and can lead to a variety of complications due to imbalanced blood flow across placental vascular communications. In this report, we describe a case of intestinal injury in TTTS after fetoscopic laser ablation of the communicating vessels. Intestinal ischemic diseases have been reported in the recipient fetus after fetoscopic laser treatment in TTTS. In this report, we describe a unique case of ileal atresia in the donor twin.

Keywords: atresia, blowout, fetoscopy, Ileal, laser, surgery, transfusion, twin to-twin
AJOL African Journals Online