[The case of an acardiac headless twin, review of the literature].

J Gynecol Obstet Biol Reprod (Paris)

Service de Gynécologie-Obstétrique, Centre Hospitalier Général, Lons-le-Saunier, France.

Published: May 2007

Introduction: Monochorial twin pregnancies are characterized by the presence of vascular connections between the twins. These connections can be at the origin of pathologies such as the transfused/transfuser syndrome or the TRAP syndrome which is defined as the association of a headless, acardiac twin with a healthy twin, which is the subject we will study and then review the literature.

The Clinical Case: The case of an acardiac, headless twin which was not diagnosed during pregnancy and was discovered at birth.

Discussion And Conclusion: The TRAP syndrome is a very rare phenomenon. Yet, it is crucial to diagnose it as early as possible during pregnancy so as to offer adequate supervision. It is associated to a high death rate in the healthy twin caused by anemia and heart failure. There are therapeutic means to stop vascular anostomoses between the twins so as to perform a selective feticide.

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http://dx.doi.org/10.1016/j.jgyn.2007.02.004DOI Listing

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