Korean J Perinatol.  2005 Dec;16(4):327-331.

A Case of Periventricular Leukomalacia and Necrotizing Enterocolitis in a Surviving Twin after Intrauterine Fetal Death in Twin Pregnancy

• Oh IJ
• Cho JY
• Choi EJ
• Kim JG
• Oh YK

Abstract

Single fetal death in the late second or the third trimester in twin pregnancy is associated with high mortality and morbidity of surviving co-twin. Monochorionic twins have an increased risk of intrauterine fetal death, its prognosis is poor, and assoiated with neurological damage in the surviving co-twin. And renal, cutaneous, pulmonary, gastrointestinal complications are also reported. Especially, survivals with twin-to-twin transfusion are at risk for development of renal insufficiency, periventricular leukomalaca, and necrotizing enterocolitis. In this report, we present a case of surviving co-twin complicated with periventricular leukomalacia and necrotizing enterocolitis delivered after intrauterine single death in twin pregnancy.

Keyword

Co-twin; Single fetal death; Periventricular leukomalacia; Necrotizing enterocolitis

MeSH Terms

Enterocolitis, Necrotizing*
Female
Fetal Death*
Humans
Infant, Newborn
Leukomalacia, Periventricular*
Mortality
Pregnancy
Pregnancy Trimester, Third
Pregnancy, Twin*
Prognosis
Renal Insufficiency