Complex Twisted Knots of Umbilical Cord in a Monochorionic-Diamniotic Twin Gestation: A Case Report

BACKGROUND: True knots and tight loops of umbilical cord can cause serious fetal complications in monochorionic-monoamniotic twins but are usually unexpected in Monochorionic-diamniotic twins because of the presence of the intertwin membrane. This report presents a case of monochorionic-diamniotic t...

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Autores principales: Razavi, Behnaz, Kasraeian, Maryam, Hashemi, Atefe, Moradi Alamdarloo, Shaghayegh, Najib, Fateme Sadat
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Salvia Medical Sciences Ltd 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343711/
https://www.ncbi.nlm.nih.gov/pubmed/34466603
http://dx.doi.org/10.31661/gmj.v9i0.1878
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author Razavi, Behnaz
Kasraeian, Maryam
Hashemi, Atefe
Moradi Alamdarloo, Shaghayegh
Najib, Fateme Sadat
author_facet Razavi, Behnaz
Kasraeian, Maryam
Hashemi, Atefe
Moradi Alamdarloo, Shaghayegh
Najib, Fateme Sadat
author_sort Razavi, Behnaz
collection PubMed
description BACKGROUND: True knots and tight loops of umbilical cord can cause serious fetal complications in monochorionic-monoamniotic twins but are usually unexpected in Monochorionic-diamniotic twins because of the presence of the intertwin membrane. This report presents a case of monochorionic-diamniotic twin gestation with a complex cord knots. CASE REPORT: A 31-year-old G2Ab1 with monochorionic-diamniotic twin pregnancy in the gestational age of 30 weeks presented with ruptured membrane since 3weeks before delivery. At the delivery time, multiple umbilical cord knots was found. CONCLUSION: Premature ruptured membrane can cause septostomy of the intertwin membrane, multiple umbilical cord knots and its complications. Therefore, these cases should be considered for evaluation of the presence of intertwin membrane and umbilical cord knots in each sonography examination.
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spelling pubmed-83437112021-08-30 Complex Twisted Knots of Umbilical Cord in a Monochorionic-Diamniotic Twin Gestation: A Case Report Razavi, Behnaz Kasraeian, Maryam Hashemi, Atefe Moradi Alamdarloo, Shaghayegh Najib, Fateme Sadat Galen Med J Case Report BACKGROUND: True knots and tight loops of umbilical cord can cause serious fetal complications in monochorionic-monoamniotic twins but are usually unexpected in Monochorionic-diamniotic twins because of the presence of the intertwin membrane. This report presents a case of monochorionic-diamniotic twin gestation with a complex cord knots. CASE REPORT: A 31-year-old G2Ab1 with monochorionic-diamniotic twin pregnancy in the gestational age of 30 weeks presented with ruptured membrane since 3weeks before delivery. At the delivery time, multiple umbilical cord knots was found. CONCLUSION: Premature ruptured membrane can cause septostomy of the intertwin membrane, multiple umbilical cord knots and its complications. Therefore, these cases should be considered for evaluation of the presence of intertwin membrane and umbilical cord knots in each sonography examination. Salvia Medical Sciences Ltd 2020-09-16 /pmc/articles/PMC8343711/ /pubmed/34466603 http://dx.doi.org/10.31661/gmj.v9i0.1878 Text en Copyright© 2020, Galen Medical Journal. https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) )
spellingShingle Case Report
Razavi, Behnaz
Kasraeian, Maryam
Hashemi, Atefe
Moradi Alamdarloo, Shaghayegh
Najib, Fateme Sadat
Complex Twisted Knots of Umbilical Cord in a Monochorionic-Diamniotic Twin Gestation: A Case Report
title Complex Twisted Knots of Umbilical Cord in a Monochorionic-Diamniotic Twin Gestation: A Case Report
title_full Complex Twisted Knots of Umbilical Cord in a Monochorionic-Diamniotic Twin Gestation: A Case Report
title_fullStr Complex Twisted Knots of Umbilical Cord in a Monochorionic-Diamniotic Twin Gestation: A Case Report
title_full_unstemmed Complex Twisted Knots of Umbilical Cord in a Monochorionic-Diamniotic Twin Gestation: A Case Report
title_short Complex Twisted Knots of Umbilical Cord in a Monochorionic-Diamniotic Twin Gestation: A Case Report
title_sort complex twisted knots of umbilical cord in a monochorionic-diamniotic twin gestation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8343711/
https://www.ncbi.nlm.nih.gov/pubmed/34466603
http://dx.doi.org/10.31661/gmj.v9i0.1878
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