Twin reversed arterial perfusion syndrome

Ghada Mansour, MD Mahmoud Youssef, MD

Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.

These are some images obtained at 27-week of pregnancy. The scan revealed a monoamniotic, monochorionic, intrauterine twin pregnancy with a twin reversed arterial perfusion syndrome. Here are some images that we obtained.

Pictures 1, 2:  Normal spine (left) and head (right) of the first fetus.

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Pictures 3, 4: Female gender of the first fetus (left) and a small trunk, acephaly, acrania and absent upper limbs of the second fetus (right)

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Pictures 4, 5: Lower limbs of the second fetus (left) and dorsal placement of the placenta (right).

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