Monochorionic Diamniotic Twins with Bordering Cord Insertions: Images and Outcome

Lucian G Pop; Madalina Piron; Viorica Radoi; Nicolae Bacalbasa; Oana D Toader

doi:10.3390/diagnostics12040985

Monochorionic Diamniotic Twins with Bordering Cord Insertions: Images and Outcome

Diagnostics (Basel). 2022 Apr 14;12(4):985. doi: 10.3390/diagnostics12040985.

Authors

Lucian G Pop^{1

2}, Madalina Piron^{1

2}, Viorica Radoi^{1

3}, Nicolae Bacalbasa², Oana D Toader^{1

2}

Affiliations

¹ National Institute of Mother and Child Care Alessandrescu-Rusescu, 020395 Bucharest, Romania.
² Department of Obstetrics and Gynecology, University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania.
³ Department of Genetics, University of Medicine and Pharmacy Carol Davila, 050474 Bucharest, Romania.

Abstract

Twin pregnancy contributes to perinatal mortality, particularly monochorionic diamniotic twin pregnancy. Placental abnormalities are much more common in twin pregnancies than in singletons. In MCDA pregnancy, vascular anastomoses are always present and are accountable for severe complications such as Twin-to-Twin transfusion syndrome (TTTS). In TTTS, umbilical cords are usually inserted at a distance from each other. We present a rare type of MCDA pregnancy, TTTS gr 1 case with bordering umbilical cord insertions.

Keywords: TTTS; twins; umbilical cord insertions.