Twin to Twin Transfusion Syndrome (TTTS) : A high index of suspicion is mandatory

Abstract

Twin-Twin transfusion syndrome (TTTS) leads to high rates of perinatal morbidity and mortality due to its poorly understood etiology and difficulty in diagnosis and treatment. Early diagnosis during foetal ultrasound is, therefore important in reducing the morbidity and mortality rates. TTTS is a phenomenon almost exclusive to monochorionic twin pregnancies. TTTS is associated with high rates of perinatal mortality. The donor twin is characterized by oliguria, oligohydramnios or anhydramnios, growth restriction and abnormal umbilical artery by Doppler velocimetry. The recipient, on the other hand, is characterized by polyuria polyhydramnios abnormal venous dopplers cardiac enlargement /failure, and eventually hydrops. The present study reported a case of TTTS an unusual presentation. Key words: : Monochorionic twin, Twin Discordance, Stuck twin