Spontaneous septostomy of monochorionic dichorionic twin pregnancy: a case series

Winnie HUI; Wai-Lam LAU; Wing-Cheong LEUNG

doi:10.12809/hkjgom.21.1.05

Authors

Winnie HUI
Wai-Lam LAU
Wing-Cheong LEUNG

DOI:

https://doi.org/10.12809/hkjgom.21.1.05

Keywords:

Amnion, Chorion, Pregnancy, twin, Umbilical cord

Abstract

We present four cases of confirmed spontaneous septostomy in monochorionic diamniotic twin pregnancy and one false positive case in a regional hospital in Hong Kong between 2011 and 2017. Three of the cases of spontaneous septostomy were detected antenatally.

References

Jeanty C, Newman E, Jeanty P, Rodts-Palenik S. Prenatal diagnosis of spontaneous septostomy in dichorionic diamniotic twins and review of the literature. J Ultrasound Med 2010;29:455-63.

Tang HT, Liu AL, Chan SY, et al. Twin pregnancy outcomes after increasing rate of vaginal twin delivery: retrospective cohort study in a Hong Kong regional obstetric unit. J Matern Fetal Neonatal Med 2016;29:1094-100.

Hack KE, Derks JB, Elias SG, et al. Increased perinatal mortality and morbidity in monochorionic versus dichorionic twin pregnancies: clinical implications of a large Dutch cohort study. BJOG 2008;115:58-67.

Green-top Guideline. Management of Monochorinonic Twin Pregnancy; 2016.

Oh JE, Bae JY, Hwang IA, Kim MJ. Antepartum spontaneous rupture of the intertwin-dividing membrane in monochorionic diamniotic twins; nearly adhered cords. Korean J Obstet Gynecol 2011;54:304-7.

Dias T, Mahsud-Dornan S, Bhide A, Papageorghiou AT, Thilaganathan B. Cord entanglement and perinatal outcome in monoamniotic twin pregnancies. Ultrasound Obstet Gynecol 2010;35:201-4.

Bevilacqua E, Aliberti C, D’Ambrosio V, Giancotti A, Perrone G, La Torre R. Spontaneous septostomy in monochorionic diamniotic twins: difficult diagnosis, difficult management. J Obstet Gynaecol 2014;34:359.

Gilbert WM, Davis SE, Kaplan C, Pretorius D, Merritt TA, Benirschke K. Morbidity associated with prenatal disruption of the dividing membrane in twin gestations. Obstet Gynecol 1991;78:623-30.

Chadha R, Lange IR, Bratz L, Cooper SL, Roggensack A, Johnson JA. A rare case of antepartum spontaneous septostomy in a monochorionic diamniotic twin pregnancy. Case Rep Obstet Gynecol 2012;2012:748614.