A case of multicystic encephalomalacia in a surviving twin after intrauterine death of co-twin.

Ryu, Ki Young; Choi, Byung Min; Song, Soon Young; Oh, Hwa Eun

Case Report

Korean Journal of Obstetrics & Gynecology 2001;44(3):621-624.
Published online March 1, 2001.

A case of multicystic encephalomalacia in a surviving twin after intrauterine death of co-twin.

Ki Young Ryu, Byung Min Choi, Soon Young Song, Hwa Eun Oh

¹Department of Obstetrics and Gynecology, College of Medicine, Kwandong University, Myongji Hospital, Koyang, Korea.
²Department of Pediatrics, College of Medicine, Kwandong University, Myongji Hospital, Koyang, Korea.
³Department of Diagnostic Radiology, College of Medicine, Kwandong University, Myongji Hospital, Koyang, Korea.
⁴Department of Pathology, College of Medicine, Kwandong University, Myongji Hospital, Koyang, Korea.

Abstract

The antepartum death of a fetus in a twin pregnancy may cause significant risk of mortality and morbidity in the surviving infant. Especially, one fetal demise of a twin pregnancy in the second or third trimester is an uncommon and difficult problem in the management of pregnancy. In this report, we present a case of single intrauterine death in a twin gestation diagnosed in the 27th week of pregnancy and the surviving fetus exhibits multicystic encephalomalacia three weeks later, antenatally.

Key Words: Twin pregnancy, Intrauterine fetal death, One fetal demise, Multicystic encephalomalacia