Intrauterine fetal death in triplet gestation caused by feto-fetal transfusion syndrome–a case report  

作　　者：Lingling Long Jie Yan Qiyan Li Ziqi Zhou Haixiao Deng Chudong Wang Ying Zou Jifeng Cai 

机构地区：[1]Department of Forensic Science,School of Basic Medical Science,Central South University,Changsha,China [2]Department of Forensic Pathology,Hunan Xiangya Judicial Identification Center,Changsha,China

出　　处：《Forensic Sciences Research》2017年第4期213-217,共5页法庭科学研究（英文）

基　　金：supported by the National Natural Science Foundation of China[grant number 81373249],[grant num-ber 81571855];Mittal Student Innovation Test Plan of Cen-tral South University[grant number MX2016447];Student Innovation Test Plan of Central South University[grant number CX2016343],[grant number YC2016714].

摘　　要：Feto-fetal transfusion syndrome(FFTS)severely affects monochorionic(MC)multiple pregnancies and affects 1 in 1600 pregnancies overall.The number of increasing disputed obstetrics cases in China is related to unavailability of prompt diagnosis of FFTS.We present here a woman with a MC triplet pregnancy with intrauterine fetal death at 33 weeks of gestation due to FFTS.Subsequent pathological anatomy showed that the MC placenta contained vascular anastomoses,including arterio-arterial anastomosis and arterio-venous anastomosis.These anastomoses led to unidirectional blood flow with the absence of adequate compensatory counter-transfusion and bi-directional flow.When encountering such challenging conditions,medical practitioners should discreetly compare the fetuses’characteristics with features of placental blood vessels and consult morphological and pathological findings.Furthermore,they should perform ultrasound examinations,particularly focussing on fetal size differences and the maximum vertical pocket in the diagnosis of FFTS,especially in MC multiple pregnancies with abdominal symptoms.

关 键 词：Feto-fetal transfusion syndrome monochorionic triplet pregnancy vascular anastomoses intrauterine fetal death obstetrics 

分 类 号：R71[医药卫生—妇产科学]